My journey in outpatient physical therapy has been shaped by a commitment to continuous learning and applying advanced techniques. Over the years, I've integrated concepts from courses such as the Mulligan Concept, Postural Restoration Institute's breathing theories, and Landmine University into my practice. My approach is also informed by "Rethinking Big Patterns" by Pat Davidson, vestibular rehabilitation, and extensive experience in strength and conditioning through the CSCS certification. Attending numerous sports and orthopedic conferences has further enriched my understanding, allowing me to provide comprehensive care tailored to each patient's needs.
A memorable case involved a patient with shoulder and back pain affecting their overhead lifting and reaching capabilities. I began with an intensive screening of the joints and spine positions to assess alignment and identify areas needing repositioning. Initial assessments were followed by targeted drills, leading to noticeable improvements. Seeing that every time he lifted his arm over head his low back would hyper extend creating pain. Building on this progress, I employed soft tissue techniques using instruments, cups, and hands-on methods, followed by specific joint mobilizations and manual resistance. This comprehensive approach, aligned with the patient's goals, facilitated significant functional improvements.
In treating this patient, the process of assessment, intervention, and reassessment was crucial. After initial drills showed promise, I implemented deeper treatments, including soft tissue work and joint mobilizations. The final step involved prescribing specific exercises aimed at enhancing the targeted positions, ensuring the treatment aligned with the patient's personal goals. This methodical approach not only addressed their immediate pain but also supported long-term functional improvements, demonstrating the effectiveness of integrating advanced physical therapy techniques with personalized care plans.
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