Tag: Denver tech center

Dry Needling: Episode 51

  • In this episode: Functional Dry Needling (01:30)

  • Chip Review: Calbee – Hot & Spicy Thank you Steve Kovisto (13:21)

  • Trivia question of the week: Which women has appeared in the most FIFA Women’s World Cups?(11:53)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

What is Dry Needling? There are a number of theories. We are going to go in depth on Functional Dry Needling (FDN). With this particular style of needling you are looking to improve movement. By improving movement, pain and discomfort should also reduce.
The other models include the Trigger Point model, Energy Crisis model, Radiculopathic model, and the Motor End-Plate model. I always like to think of FDN in a more simple way.
FDN helps to reset the muscle. So if the muscle is over firing, spasming or chronically tight you can get it to relax by putting a needle in there. If it doing the opposite so not firing you can put the needle in there and get it activate. The analogy I like to use is that of a computer. We’ve all experienced a time when our computer is not working, as we like. So the first thing we do is shut the computer down and turn it back on again. We reset it and that more often then not will get it to start working again.
So with the body if we can get it to start moving better often times we can get the pain to reduce and eventually go away. The important thing to remember is that FDN along is usually not enough to make a lasting change. We always like to follow up all out treatments with a series of therapeutic exercise. These exercises are going to ensure a long lasting change.
Other episodes you might be interested in:

Pain: Episode 29

Ice or Heat?: Episode 23

Radicular Pain: Episode 22

 

Shingles: Episode 50

  • In this episode: Shingles, not the most typical physical therapy topic but somehow it keeps showing up at the clinic. (00:20)

  • Chip Review: Doritos – Nacho Cheese (09:10)

  • Trivia question of the week: If you head south from Detroit which foreign country do you hit first?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

*** At certain points the sound quality of this episode is below our standard (Djimmer had to call in and the internet connection was poor).

Shingles, Herpes-Zoster, Varicella-Zoster Virus. This is the reactivation of chicken pox. Now a day everyone gets vaccinated for chickenpox but when Djimmer and Christiaan were kids the vaccine had not yet been developed. The version of “vaccination” that we received was to be placed in a room with a child who had chickenpox so that we would get it. Since shingles is the reactivation of chickenpox hopefully its presents will continue to decline as chickenpox becomes a thing of the past.
I’m sure you are asking why a couple of physical therapists are discussion shingles. Well, prior to the hallmark rash forming there can be 2-3 days of burning along a dermatome. Dermatomal pain may be present in the cervical, thoracic and lumbar spine. In these cases it may feel a lot like sciatica, cervicalgia, a muscle pull any other radicular pain. Some one who has experienced this before may set up an appointment for physical therapy and when they come in the rash is now presents.
When shingles is seen in a patient it is something that needs to be treated medially. This will include an anti-viral medication as well as potentially some pain medication. Once the rash clears if the patient continues to experience thoracic, lumbar or cervical pain now physical therapy can be initiated and a clear picture of what is causing those symptoms can be found.
Increased age and compromised immune system are common factors in developing shingles. Interestingly enough, and this may contribute to why we are seeing shingles more often, is that prolonged corticosteroid use has also be associated with increase prevalence of shingles.

Other episodes you might be interested in:

 

Pain: Episode 29

Pain: Episode 29

Radicular Pain: Episode 22

 

FAI/Hip Labrum: Episode 21

  • FAI (Femoral Acetabular Impingement) is becoming a common diagnosis. This is a bony change that causes the hip labrum to tear and fray. Both cause pain and loss of sport ability.
  • We review Kettle Brand Spicy Queso Potato Chips, compliments of Judy Kay.
  • Trivia question of the week: The Bullfinch Pub in Boston is better known by what name?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

 

Today we are going to be covering hip labrum pain, hip labrum tears, hip labrum reconstruction, femoral acetabular impingement (FAI), which all full under the same heading. Then we are going to be reviewing Kettle Brand Spicy Queso Chips, compliments of Ms. Judy Kay.  Thank you Mrs. Kay.

 

So we are going to start with labrum tears. So the labrum sits around the outside of your hip joint. It helps to deepen the joint; it helps improve stability around there. It is also chock full of pain fibers. It is kind of like a gasket. I learned that from Dr. Parker. You learned gaskets from Dr. Parker?

 

When you have irritation to that you will feel pinching, you will feel pain.  Most of the time pain with either be in the front of your hip or into your groin.

Very common with people who are super flexible or single limb athletes as we call them if you do a lot of j ump, pushing off or landing on one leg. This is a pretty common injury. Although I think it is often, and this is speculation on my part, miss diagnosed. I has become one of those fade diagnosis. Everyone with anterior hip pain, now all of a sudden has FAI.

 

A lot of that has to do with the fact that there is now a surgery for it. The surgery is relatively routine. That has only been in the last 10 years. I remember treating a your lady 20 years ago. For hip impingement and there was not really any surgery at the time that could be done for it other then a complicated open procedure or a potential joint replacement. Neither one of those was a valiant option at the time. So we treated it conservatively and low and behold it got better.

 

We definitely see that a fair amount where you have a small tear and not need surgery. Even if you get diagnosed with a labrum tear, see it on imaging. If it is small enough you can treat it by stabilizing the joint. Treating it with physical therapy working on strength, balance, stability and range of motion.

© 2023 Rebound PT website by bluerth