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PART 2: HE's BACK: A Patient With Parkinsonian Tremor?

Hi everyone, here's a follow-up to the patient with Parkinsonian tremor who has returned with vertigo-like symptoms. RECAP: 72-year-old male with a 9-month history of "Parkinsonian tremor" right-sided that responded to cervical spine mechanical repeated movements and remained better. He then returned a few months later with vertigo-like symptoms. All vestibular testing was negative. Positive ataxia with tandem. Single-leg stand for less than 5 seconds each. Strength was good. Hoffmans normal....

Hi everyone, here's a new patient, 65 y/o male with L lower leg numbness that sounds like a no-brainer for extension. FAQs at the bottom NOTICE: The free trial will expire on August 29th. History: Current Symptoms: numbness L>R lower leg and foot lateral and bottom aspect-constantly. Chronic weakness on R LE plantarflexion from previous lumbar surgery-constantly. Not much pain, just increased numbness. Onset date: 6 weeks ago, improving with recent oral Prednisone. Method of onset: laying...

Hi everyone, the patient with Parkinsonian tremor has returned with vertigo-like symptoms. FAQs at the bottom NOTICE: The free trial will expire in 2 weeks, on August 29th. RECAP (from previous): 72-year-old male with a 9-month history of "Parkinsonian tremor" that was intermittent, right-sided, and large-amplitude, with a flexion pattern affecting the upper extremity more than the lower. Cervical retraction-extension abolished the right upper- and lower-extremity tremor during the session,...

Hi everyone, here's a follow-up to this patient. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 50-year-old male with intermittent pain: R interscap pain, R UT, R deltoid, R upper arm. Onset date: about 4 weeks ago. Method of onset: nothing specific, just woke up with it, possibly 188+ push-ups and 20+ pull-ups per day (push/pull-up challenge, one more every day). General Symptom Trend: staying the same. Worse: push-ups, mornings, carrying...

Hi everyone, here's part 3. I'm leaving the FAQs at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 42-year-old female with the onset of intermittent symmetrical mid-low thoracic pain about one year ago after roughhousing with her young boys. I sent her out with sustained extension to confirm or rule out a derangement, and her R TH pain progressively worsened. She messaged me to let me know, and I updated her HEP with Repeated TH rotation R. UPDATE: She stopped TH...

Hi everyone, here's another patient I just saw that we can go through together. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. Patient is a 50-year-old male with intermittent pain: R interscap pain, R UT, R deltoid, R upper arm. Onset date: about 4 weeks ago. Method of onset: nothing specific, just woke up with it, possibly 188+ push-ups and 20+ pull-ups per day (push/pull-up challenge, one more every day). General Symptom Trend: staying the same. Worse:...

Hi everyone, here's part 2. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 42-year-old female yoga instructor with the onset of intermittent symmetrical mid-low thoracic pain about one year ago after roughhousing with her young boys. Twisting R is stiff when pain is elevated, but her movement exam did not demonstrate any motion loss. Neural tension + on L. Multiple attempts of thoracic extension had no effect. I sent her out with sustained...

Hi everyone, this is the last update of the patient with Parkinsonian tremor. FAQs at the bottom. RECAP: 72-year-old male with a 9-month history of "Parkinsonian tremor" that was intermittent, right-sided, and large-amplitude, with a flexion pattern affecting the upper extremity more than the lower. Cervical retraction-extension abolished the right upper- and lower-extremity tremor during the session, and this improvement was maintained at subsequent follow-up. His only recurrence occurred...

Hi everyone, here's another patient I just saw that we can go through together. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. Patient is a 42-year-old female yoga instructor with the onset of intermittent symmetrical mid-low thoracic pain about one year ago after roughhousing with her young boys. Twisting R is stiff when pain is elevated. Symptoms are worsening over time. Worse: twisting R, mornings, teaching yoga, standing with a forward lean. No red flags....

Hi there, this is an update of the patient with Parkinsonian tremor. Also, there's an important FAQ at the bottom that clarifies the free trial. We've had several questions. RECAP: 72-year-old male with a 9-month history of "Parkinsonian tremor" that was intermittent, right-sided, and large-amplitude, with a flexion pattern affecting the upper extremity more than the lower. Cervical retraction-extension abolished the right upper- and lower-extremity tremor during the session, and this...