Month: February 2010

Please join me on Wednesday March 3 at 9 pm EST for a FREE teleseminar on an Ankle Case Study Review with a Clinical Reasoning Process.  Simply sign up by entering your name and email address on the side bar of this blog.

Read part of the case study below:

Current History

Anne who is a 28 year-old competitive basketball player comes to you with a complaint of an achy sharp pain over the right anterior ankle region (P1) – 6/10.  She noticed that it started 2 weeks ago after starting to play basketball for the season.  She says that she has been experiencing stiffness in her ankle joint for the last few weeks now.

She has also noticed an aching type of pain (P2 – 4/10) over the right medial ankle region that started after she returned to playing basketball.  She has become somewhat frustrated and would like to deal with this quickly so that it doesn’t interfere with her basketball season.

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Symptom Behaviour

She reports that landing from a jump and running especially trigger her anterior ankle pain (P1), and her medial ankle pain (P2) bothers her after prolonged walking or playing basketball in general.

What are your thoughts so far as to what is causing Anne’s symptoms?

Join me on the evening of Wednesday March 3 at 9pm EST to learn more!

It took me a little while but it is finally available to you as previously promised…

FREE MP3 DOWNLOAD OF THE LIVE RECORDING given on the Shoulder Girdle.

You can put it on your iPod and listen to it while driving or exercising.

Approximate length is 50 min>>> CLICK on the link below to download:

Rotator Cuff Impingement Secondary to Scapular Dyskinesis

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LISTEN NOW:

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This excerpt is part 2 of 2 from the Lumbar Spine Case Study Teleseminar that
was held on January 27, 2010:

In part 1, I presented some of the assessment
findings for Jordan`s low back pain problem.

Now, I would like to share with you some treatment
techniques implemented in his case.

I separated the treatment under various categories:

Manual Therapy:
- Soft tissue mobilization of the erector spinae muscle group for  5 – 10 minutes
– Mobilization of the right L5 Z-joint into a superior / anterior glide
using an indirect technique with a bias into flexion at the L5/S1 motion segment.
Grade 3 oscillatory glide 3×20

see picture and video below:

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Exercise:
– Initiate pelvic floor & transversus abdominis activation (TA). 6 x 6 secs hourly
– Knees to chest stretch 3×30 sec holds, in morning and after extension activities

Education:
- Educate regarding the condition & the importance of home exercise in managing this problem
– Discuss the importance of avoiding extension activities
– Educate on avoiding shear stress, i.e. avoiding resisted hip flexion, bending & lifting
– Educate on the importance of taking time off aggravating physical activities

Other:
-Heating pad x 15 minutes and or electrotherapy over the right lumbar multifidus

To Your Manual Therapy Success.

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