My Numbness and Tingling Continue, but My Testing Does Not Show Anything!

 

My Numbness and Tingling Continue, but My Testing Does Not Show Anything!

Post by Brian Yee, PT, MPhty, OCS, FAAOMPT Many times we get patients in our clinic who experience ongoing or unresolved nerve symptoms. This can include things such as tingling, numbness, a pinched nerve in the neck, herniated disc, or burning pain that they know is coming from a nerve condition, such as sciatica. The patient may go through exhaustive testing by MRI, which rules out significant involvement from a herniated disc. Or they could participate in an EMG or Nerve Conduction Study which shows the nerve is conducting fine. And yet, the patient still has nerve-like symptoms. This results in the health practitioner sending the patient to physical therapy to try something like traction, whick does not help long term…

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Pain? Injured? Get Moving!

Post by Beth Collier, PT, DPT, OCS Did you know that our bodies can produce the best medicine to heal injury and relieve chronic pain? All you need to do to take advantage of this medicine is to get moving! Even gentle movement as performed with Tai chi or yoga or simply deep breathing can block pain producing hormones and aid in the body’s natural inflammatory process. Pain expert David Butler, who the Motion Stability team had the pleasure of learning from last month at a class held in Atlanta, describes this effect as tapping into our body’s pharmacy that is open 24 hours a day- even on holidays! SO- if you have had long standing unresolved pain, get moving!…

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Is Back Pain All in Your Head?

Post by Brian Yee, PT, MPhty, OCS, FAAOMPT What a great article from NPR! This article identifies that recurring back problems are not solely from the structure in your spine such as a herniated disc or degeneration or the vertebra, but rather it brings attention to the nervous system itself. Your nervous system, located within your spine, is your main transducer that signals to your brain that you are or are not in pain. This article states: “Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to Dr. James Rainville of New England Baptist Hospital in Boston.” “This is a different way…

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Nerve Injuries in Athletes

Post by Brian Yee PT, MPhty, OCS, FAAOMPT If you know me, you know I’m a big Lakers fan! I was absolutely excited when the Lakers traded for Steve Nash from the Phoenix Suns two years ago. Steve Nash has been one of the best point guards of our time. However, last year Steve had a freak injury that fractured his fibula and caused nerve damage in his leg as well. It took him out of a large chunk of games last year to recover. I will be the first to say that I am not his Physical Therapist, nor do I even know the extent of his injury. In this article, he does state that the team’s Physical Therapist…

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Can your Muscles be the Source of your Pain?

Post by Brian Yee PT, MPhty, OCS, FAAOMPT Here’s a link from the Washington Post that talks about the role of myofascial pain in undiagnosed or unresolved pain. There is a tendency for patients to believe their pain is only from a structural problem such as a herniated disc, but in actuality there is a large contribution of pain that originates from the muscles and fascia of your body or what is called the myofascial system. Trigger points in the muscle and restrictions in your fascia around the muscles and joint of your body are just another tissue in your body that can be a pain generator. It is important to find a health practitioner that understands how to differentially…

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SI Joint Dysfunction… Under or Over Diagnosed?

Post by Maggie Gebhardt PT, DPT, OCS A patient of mine recently forwarded me this article. I found it interesting because as a Physical Therapist, we are told more often than not that the SI joint is overly diagnosed by us PTs. So after reading this article I was wondering…which is it? If doctors are not diagnosing it enough and PTs are diagnosing it too much, what’s the problem? Where is the disconnect? I think the happy medium is that with a thorough examination and evaluation both the SI joint and lumbar spine should be screened for possible involvement. Oftentimes I have found with my own patients that it is not nearly as black and white as we clinicians want it…

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What Does Unresolved Pain Mean to You?

Post by Maggie Gebhardt PT, DPT, OCS When people hear the words unresolved pain, they often mistakenly think “chronic pain.” While chronic pain has a more negative connotation regarding pain that is unrelenting and persistent in nature, unresolved pain can mean a variety of things… For example, how many of you have had 1-2 episodes of back pain for the last 5-10 years? We hear all the time, “Yeah I throw my back out a couple of times a year.” That is unresolved pain. Those episodes are not separate incidents, but a continuation of an unresolved back injury from years ago. How about, “I roll my ankles all the time. It’s no big deal.” Well, it is a big deal and…

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