The physical therapy goals in the conservative management of scoliosis include halting curve progression and preventing surgery, addressing spinal pain syndromes, managing respiratory dysfunction, improving aesthetics and body image. In addition to Schroth physical therapists employ an array of manual techniques including joint mobilization, myofascial release, soft tissue mobilization, crainosacral therapy, visceral mobilization and neuromuscular stretching techniques.
Even with ligamentous and muscular support in place, the hip is a common area that is susceptible to pain and irritation. While there is no singular explanation for hip pain aside from direct trauma, we can point to a myriad of different causes associated with pain, such as faulty movement patterns, imbalances within the body due to underlying muscle weaknesses, or abnormal joint motion within the hip or neighboring areas of the body, such as the low back.
Given what we now know of the role of the pelvic floor muscle network, it would make sense that dysfunction could vary widely in presentation and that the avenues for treatment equally as numerous. Direct dysfunction of these muscles can contribute to loss of bowel/bladder control, constipation, urinary and bowel urgency/frequency, pelvic pain, diminished sexual appreciation or pain with intercourse, pelvic organ prolapse, and lumbo-pelvic-hip control issues.
Habitual postures can also lead to muscle imbalances. A person may be sitting at their desk all day slouching forwards, which can lead to tight hip flexors and lengthened/weak glute muscles. Tight hip flexors can lead to a lack of hip extension range of motion, thus driving an issue at the back. Because the body likes to find ways around restrictions, this person might compensate with excessive mobility at the low back joints to make up for that lack of hip mobility. Over time, changes in these tissues structures can ultimately become a source of pain.
There are numerous Parkinson’s research groups that are dedicated to improving the lives of individuals with PD. Regardless of which Parkinson’s research group that you follow, be it the LSVT BIG group, the POWER group, etc., much of the research on Parkinson’s Disease points to the same conclusion: a target-specific exercise program may be essential in delaying the progression and deterioration of function that may develop with PD. Early intervention is one of the key components to promoting a long and healthy lifestyle.
The genesis for this blog occurred after I attended a birthing preparation course taught by Ashley Brichter at Birth Smarter. This organization has virtual and in person childbirth education classes for expectant parents and professionals. Despite being 5 years removed from having children myself, I found the educational review helpful for my professional practice. It reminded me that understanding the anatomy of a vaginal childbirth can gift the expectant parent with tools to improve the birthing experience.
After returning home from the hospital and a stint in the ICU from COVID-19, this once energetic man was unable to ambulate without the aid of a walker or take 20 steps without gasping for breath. Instead of seeing patients, his days were filled with home nursing visits, nebulizer treatments and walking exercises that were not improving his overall health. As a friend and colleague I asked myself, what techniques could I, as a physical therapist, utilize to help this patient recover? As it turns out, PT’s can do a lot.
In a broad sense, I have been amazed at the continued support that the Thrive staff has provided and received since our physical closure. I find myself in regular communication with my patients, and am bolstered each time I hear from them. They have emailed me: recipes, educational websites for children, mindfulness apps, yoga flows to calm you down, yoga flows to pump you up, books for when you’re sad, books for when you’re happy, books for when you’re too tired to read hard books, podcasts, TED Talks, and no less than 50 assorted Netflix suggestions.
TeleTherapy is a way for you to connect and continue to work one-on-one with your physical therapist through a secure, HIPAA compliant online platform. The evaluation and treatment sessions are similar to what you would receive in the clinic.
Many of us find ourselves at home in efforts to flatten the curve and save lives. Instead of diving head first into the next binge-worthy streaming show, there are tons of amazing books waiting to be discovered. Here are a few of our favorite reads that you may find enjoyable as you stay at home.