Tough to Treat
Summary: Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescription are also presented so you can be ahead of the curve when it comes to treating these types of patients. Oftentimes, the source of the problem is not where you think it is!! For example, chronic low back pain emanating from the neck. Or hip pain coming from the foot. It pays to look up and down the kinetic chain! Podcast music: "Fearless First" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
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- Artist: Susan Clinton and Erica Meloe
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Podcasts:
Tough To Treat Masterclass: In this episode we have guest PT, Alaina Newell, who presents us with one of her tough male patients with a primary complaint of abdominal issues.
What do you do when your patient tells you that she hurts everywhere? In this episode, Susan and I discuss a patient with an EXTENSIVE injury history who happens to be a runner.
Tough To Treat Masterclass: In this episode we have guest PT, Daria Oller, who presents us with one of her tough spinal patients. Is spinal stenosis a mystery? Visit our website www.toughtotreat.com
Professional dancers tend to push through tightness, discomfort and pain. Not surprising! Often times the care they seek does not really address the driver(s) of their symptoms. More often than not, it is treat the painful part and move on. That is not a recipe for long term relief. Listen to this girl's story and see how we evaluated and addressed her symptoms. Sometimes less is more....
Does elbow pain really emanate from the elbow? Sometimes it does. But the longer people wait to seek help, the higher the likelihood there is another driver. And therein lies the challenge. Join us as we clinically reason through this patient's elbow/arm pain and the ensuing treatment progression and exercise prescription. Visit our website: ToughtoTreat.com
What happens when someone gets injured while living on their sailboat at sea? This episode explores the clinical reasoning and intervention process from a virtual platform to help this lady through an unexpected injury to her hip and back and navigating the functions needed on a sailboat. Visit our website: toughtotreat.com
When does motor control come into play when someone has persistent shoulder pain? Is it soft tissue related, a joint problem or a neuromuscular repatterning issue? Or something else? How does our nervous system adjust? In this episode we talk about the multiple sources to this person's shoulder pain and how retraining his arm lift was the key to his recovery. Visit our website: toughtotreat.com
There are many ways to approach pelvic pain and symptoms of urinary urge incontinence, but did you know that how the MSK system moves can affect these symptoms as well? On this podcast, we take a dive into the movement system, past/present autoimmune history and post-partum process while changing this client's symptoms as well as her urinary incontinence. In turn she regains control over her pelvic pain! Visit our website: toughtotreat.com
How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! This episode highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement. Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't. Doing the right thing at the right time is clinical expertise. Visit our website: toughtotreat.com
Explore the origin of this client's shoulder pain as we discuss a biomechanical vs. systemic history and how the pain experience had changed her ability to fully participate in life and exercise. Visit our website: toughtotreat.com
When a 12 year old comes to you with complaints of posterior thigh pain that is not going away, your radar should go up. Especially, when she presented with knee issues previously which were alleviated within 3 visits. Being a good listener is extremely important; but in this case, being a good questioner provided the answer.
Radicular pain can be a complex situation and is usually treated from the perspective of the spine. What about a persistent pain problem? In this episode we discuss the exam and treatment of a gentleman with persistent radicular pain for over 10 years. You might be surprised by the real issues that drove him to seek treatment. Visit our website: toughtotreat.com
How does the pelvis become a source of someone's low back pain? It is not always about training transversus, multifidus or the pelvic floor. Listen as we discuss how a compressed pelvis in a male patient was the source of his low back pain. Ultimately, balancing the forces across his pelvis and increasing his awareness of his strategies throughout all movement tasks were integral to his recovery.
Shoulder pain - what does that really mean? Sometimes the key to helping through a patient's persistent shoulder pain is looking at all of the underlying inputs to the regional pain syndrome. Most often we find a large involvement of the cervical spine. In this episode, finding ways to decompress the system were key to alleviating this client's symptoms. Visit our website: toughtotreat.com
Now, this is a CHALLENGING one! Ever have those patients who have been everywhere, had everything done to them (injections, surgeries, acupuncture) and nothing helped? Well, this is your lucky day because this episode really takes us down the chain from head to toe with someone who had low back pain. Pretty standard, right? But this was FAR from standard. Hint: her low back was not the source of her problem. Visit our website: toughtotreat.com
