Hump Day Hustling – Weekly Research Summary – September 27, 2023

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!

Frozen Shoulder

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!

Trigeminal Neuralgia

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.

    Cauda Equina

    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”

    A popular narrative gone too far?

    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.

    Sponsor Corner

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    PTonICE Rewind

    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

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    📢 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