Archive for the ‘When do you need physical therapy’ Category
<p>Hello, on 12/7/06 I had fell very hard onto a concrete floor. I hit my head back, shoiulder and arm. I have been in physical therapy for about two months to treat this injury.
I first recieved and MRI for my neck and it showed that I posterior disc protusion slightly effacing the ventral csf at c5-6 and c4-5. I also have a disc bulge at c6-7.
At first the pain was quite severe but physical therapy, rest and medication had helped some bit. The problem is that I still get neck aches daily. The pain can get to be pretty bad at times
.
I recently recieved and MRI for my shoulder which showed impingement. The results say: There is a down-sloping acromion which does touch a midly efface the supraspinatus musculotendinous junction. There is tenosynovitis of the biceps tendon sheath
.
I kind of know what this means but not fully. I have alot of pain in shoulder and neck, shoulder is very sore and my underarm is sore and tender. it hurts most when walking/reaching. Also, my elbow started cracking with much pain and my forearm is really tight, my fingers constantly feel jammed and there is pain/weakness in wrist. Also, my shoulder has been cracking.
My question is, I see a my neuro surgeon for a follow up soon but I called the office and they said he does not deal with shoulders. Then, the week after I see my doctor. What kind of treatment should I expect for these injuries and might I need to see another specialist? Also, may I need more physical therapy my prescription is currently up for it and i have completed the suggested course of therapy yet am still in much pain.
Any info/suggestion you may have will be appreciated.
Thank You
You did not mention what you are doing in physical therapy, but it sounds like the treatment has focused on the neck. I am guessing that more needs to be addressed for the shoulder.
In impingement syndrome, something gets "pinched" which causes pain and inflammtion. It can occur due to poor muscular function or muscles that stabilize the scapula, tightness of the capsule surrounding the joint, poor posture, a bone spur on the underside of the acromian, or anatomic abnormality of the acromian. It sounds like you at least have the latter. Whether you have other factors contributing to the problem, your physical therapist should be able to tell you. Muscular function and capsular tightness can be addressed by strengthening and stretching. Posture correction is imperitive in ALL cases of shoulder impingment. The other things I have mentioned cannot be cured by physical therapy, but may be able to be addressed by using modalities to decrease inflammation…education is also important to avoid movements that impinge the shoulder.
The neurosurgeon could give you further treatment suggestions for the neck, but an orthopedic surgeon would need to be seen for the shoulder. Although, based on what you have said about your MRI, the first inclination would probably be to continue PT…maybe a cortisone injection.
< p>
As a physical therapist, I have always considered my skills to be excellent. But it wasnt driving new patients to my door. I needed help. I need a solution to physical therapy marketing.
I had reason for my difficulties. There were 26 physical therapy practices located within a 3-mile radius with 14 of them on the same street within those 3 miles. I was also feeling the pressures of managed healthcare. I felt it was getting the best of me.
I found out that something could be done to turn my practice around. I learned some basic marketing tools that permitted my practice to grow without having to meet with doctors because at that time the thought of soliciting the referrals from physicians was terrifying to me. In fact, we 3xed our production in 3 months and continued to skyrocket from there. Ultimately I expanded my practice by nine-fold.
I finally did sell my practice to a large healthcare corporation (after being sought by many) in February 1998. The company wanted me to stay in its corporate ranks but I decided against it.
I have spent several years educating myself in a management technology that works; now I share it with others. I am a licensed management consultant. I have teamed up with Jeff Lee to establish Measurable Solutions. Jeff has over 20 years experience in consulting healthcare professionals, including physical therapists.
Our company is called Measurable Solutions for a reason. If you have a problem which becomes solved what should happen? Expansion of your company! We measure that expansion! You will know in weeks that you have been helped.
If you want to expand, let us show you how to do it quickly and regain the joy you felt when you first started your practice.
Sincerely,
Shaun Kirk, M.H.S., P.T., M.T.C.
President, Measurable Solutions, Inc.Duration : 0:3:8