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,...
15 days 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...
30 days 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...
about 1 month 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:...
about 2 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...
about 2 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...
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 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....
2 months ago • 2 min read
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...
3 months ago • 2 min read
Hello everyone, When a clinic's growth strategy is to double-book patients, therapists feel it. And if they hand in their notice, the math gets uncomfortable. Replacing a single physical therapist can easily cost a clinic $40,000. Here is the breakdown: Lost Revenue: A standard 60-day vacancy means an empty schedule. That's easily $20,000 to $25,000 in unbilled time. Recruiting: Job board fees, recruiter commissions, and the administrative hours spent interviewing run about $5,000. Ramp-Up: A...
3 months ago • 1 min read