Hi everyone, here's a follow-up to the 65 y/o male with L lower leg numbness that sounds like a no-brainer for extension. RECAP: Current Symptoms: 6 week history of numbness L>R lower leg and foot lateral and bottom aspect-constantly due to hours of kneeling to lay flooring. Chronic weakness on R LE plantarflexion from previous lumbar surgery-constantly. Not much pain, just increased numbness. Worse: Prolonged sitting (e.g., long car rides), reclining with feet elevated, and possibly...
12 days ago • 2 min read
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....
20 days ago • 2 min read
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...
about 1 month ago • 2 min read
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,...
about 1 month ago • 3 min read
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...
about 2 months ago • 2 min read
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...
2 months ago • 2 min read
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:...
3 months ago • 2 min read
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...
3 months ago • 1 min read
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...
3 months ago • 2 min read