Fun case today referred by PCP to address WC LBP since April disc injury. Initial acupuncture and PT helped with Sx using McKenzie approach. Patient plateaued with daily 2/10 pain with flares reaching 4/10 with forward bending. She had been coached into abdominal hollowing as a bracing strategy and told she should give up running. She marathons yearly, loves running with her husband. Exam showed above average leg strength, mild neural tension, a concomitant SI issue and neuralgia affecting the cluneal nerves. At BW of 105, she deadlifted 35# KB 4X at end of tx. Big smiles, 0/10 pain. For her, an OSullivan approach to challenge fear avoidant behavior and defusing iatrogenic disability was key. This work is really fun! Come play with us as we start to teach this principle based approach that bridges pain neuroscience education with exercise therapy to address a huge public health concern. First class in Portland Aug. 23-24. See you there! fixyourownback/public/The-Clinical-Companion-to-FixYourOwnBackcomAssessment-and-Exercise-Interventions-for-the-Flexion-Intolerant-and-DiscInjured-Low-Back.cfm
Posted on: Thu, 14 Aug 2014 21:22:19 +0000
Recently Viewed Topics
© 2015