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. No imaging. Sleep is limited due to pain.

THORACIC ROM: Baseline signs/ symptoms: 0/10 sitting at rest.

• Flexion: no loss, feels good
• Extension: min loss,
• Rotation R: 70, ERP central TH
• Rotation L: 70, ERP L scap

Sciatic neural tension: + L, much more pull compared to R

LE strength: 5/5 throughout bilat

LE reflexes: 2+ throughout bilat

Repeated Movement Testing:

• C-T extension over chairback had no effect on baselines
• Sustained mid-TH ext over a ball had no effect on baselines
• Ext in lying had no effect

I sent her out with sustained TH extension over a ball.

​
TAKEAWAY: Despite no significant changes during the session, her history and exam indicate that a derangement needs to be ruled out. Sustained positioning into extension is what I went with again, given her history of worsening with static positioning. Sometimes you will not get that "Aha!" moment, and that's OK, fall back on your history.

​
The video below is what I sent her for HEP.

Until next time,

Ryan Tauzell, PT, Cert. MDT

ryan@atlashealth.io

​atlashealth.io​

​Click HERE to use the full functionality with Atlas Health's platform for a FREE trial with 5 patients.

FAQs

• We've had several people ask if certain features are "subscription-only" during the free trial. You can use the full functionality for 5 patients. You won't be able to add the 6th patient until payment is made. So, add up to 5 patients, poke around, test it out, send messages, exercises, patient education, set alerts and outcome measures, everything, all you want...for 5 patients 🙂).
• We are serious, no credit card is needed for the free trial. The card is required only when you add the 6th patient. You create your account and start using it.
• You do need a subscription for white-labeling. It's just not cost-effective to white-label free trials. But white-labeling looks really nice and promotes brand recognition when you send programs to patients.
• The Cost: $49 per clinician per month or $490 per clinician per year.
• Yes, we offer enterprise subscriptions. Just send me an email.
• You can cancel anytime, and your account will be prorated.
• We can not make the avatar look like you yet. But if enough people want it, we can prioritize developing this option.
• We do have a female avatar, but not ready for production yet.
• Thank you, everyone, for your questions!!

​Click HERE to book a demo with Jason Ward or me and see how we use it.