Frozen shoulder, trigeminal neuralgia, challenging beliefs on asymmetries, and more in this episode of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio content make sure to check out our Upcoming Course Dates and Locations!
An important viewpoint: The patient’s
Frozen shoulder is debilitating …here is a qualitative review to see through the eyes of the patient, a perspective we would all be well served in better understanding.
Five themes were identified: 1) “Dropping me to my knees,” an incredible pain experience; 2) The struggle for normality; 3) An emotional change of self; 4) The challenges of the healthcare journey; and 5) Coping and adapting.
Let’s not forget the human behind the diagnosis!
Dry needling and pulsed radiofrequency
This case series of 35 patients with follow ups ranging from 1-8 years compared current treatment for Trigeminal Neuralgia: trigeminal ganglion/mandibular nerve pulsed radiofrequency with Ultrasound guided DN (USGDN) compared to USGDN alone. Patients in both groups reported a cessation in neuralgic attacks after USGDN. Post-USGDN, 67% of patients completely discontinued medication. USGDN was performed twice weekly until the patients reported about a 50–60% pain reduction from the baseline 10-point Numeric Rating Scale.
“As we treated more patients, we realized that patients were happier with ultrasound guided dry needling, which appeared to be addressing their complaints with unequivocal reliability”
Considering the level of pain severity and resultant disability experienced with trigeminal neuralgia the trend of findings in this case series is extremely encouraging, we’re looking forward to more controlled trials exploring viability of USGDN.
Great review of recent publications
We came across this blog piece from Tom Jesson, physical therapist out of the Houston area, and wanted to share with you all as it is a great deep dive into recent publications on sciatica/CES. You can read the blog without subscribing (just click continue reading), but it definitely might be worth getting on his list as we’re impressed by the content quality already!
“Asymmetries Don’t Matter”
In the age of “No such thing as movement standards or movement faults, all human movement is good movement” comes this article in September’s JSCR to remind us that things like physics still apply to us.
36 basketball players were objectively assessed for change of direction speed differences side-to-side using the 505 Agility Test. When a deficit was observed, training changed to load the slower/weaker limb at a 3:1 ratio compared to the faster/stronger limb using Bulgarian split squats & single-leg jumping as the primary intervention treatments, 1x/week for 8 weeks.
Results revealed a reduction in asymmetry from -11.88% to -4.47% in individuals placed in the experimental group.
Yes, asymmetries can matter, especially when such an observable, objective deficit is present and yes, we can correct for them. We just need to be very cognizant of how much volume is required on the slower/weaker side to close the gap.
Say goodbye to paperwork and hello to more treatment time
Here at Jane, we want to lighten your admin load. That’s why our Online Intake Forms are designed to automate the intake process, helping you collect everything you need from your patients or clients before they walk through your door.
- Access the Template Library – No need to start from scratch when creating your intake forms. Choose from a collection of practitioner-made questionnaire templates that can be tweaked to match your practice’s needs.
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To see Jane’s Online Intake Forms in action, book a personalized demo with a member of our Support Team. If you know you’re ready to get started, use the code ICEPT1MO for a 1-month grace period on your new account.
Did you miss any of our ICE Physio podcasts last week? Well here you go!
Monday: “Virtual pelvic floor PT: The objective exam” (Alexis Morgan)
Tuesday: “Mobilization with movement for lumbar flexion” (Zac Morgan)
Wednesday: “Masters athletes as primary agers” (Christina Prevett)
Thursday: “(Re)Negotiating your lease” (Alan Fredendall)
Friday: “Competition prep 101” (Joe Hanisko)
Upcoming ICE Physio Courses
- September 30-October 1: Fitness Athlete LIVE (Newark, CA)
- September 30-October 1: Pelvic LIVE (Dundas, Ontario)
- October 7-8: Fitness Athlete LIVE (Lynwood, WA)
- October 7-8: Older Adult LIVE (Falls Church, VA)
- October 7-8: Extremity Management (Rochester, MN)
- October 14-15: Dry Needling: Lower Body (Fenton, MI)
- October 14-15: Cervical Spine (Waterford, CT)
- October 14-15: Older Adult LIVE (Fountain Valley, CA)
- October 14-15: Pelvic LIVE (Brookfield, WI)
- October 11th: Older Adult: Essential Foundations
- October 12th: Older Adult: Advanced Concepts
- October 21st: Rehab of the Injured Runner
- October 23rd: Persistent Pain Management
- November 6th: Fitness Athlete: Essential Foundations
- January 9th: Fitness Athlete: Pregnancy and Postpartum
- January 9th: Brick by Brick
- January 22nd: Primary Care PT
- February 4th: Fitness Athlete: Advanced Concepts
📢 On Virtual ICE next week we’ll be chatting “Dry needling for cervical radiculopathy” with ICE faculty Ellison Melrose! Not in our virtual mentorship program? Find out how to enroll and learn more HERE