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:
Erica and Susan discuss novel ways of assessing and treating leg pain in a young patient where the source is not the leg!
Wellness and movement are the focus of this podcast. The discussion centers around Golf and how PTs are uniquely qualified to evaluate and change the mechanics of a golf swing.
A really interesting case of persistent foot pain in a stage performer. Compensations from dominant patterning and loading - the case for looking up the kinetic chain.
This episode centers around a discussion of post-partum DRA in a patient with a long standing, complex history of pain and fear around her abdominal wall. Emphasis on a good history unmasks many MSK issues related to her condition.
A continuation of the prior episode, Erica and Susan further discuss innovative treatments ideas for this patient as well as novel inputs to change patients' movement patterns.
Susan and Erica discuss really novel and unique ways of treating the cranium, the nervous system as well as a nice progression of motor control and corrective movement practice in this really interesting patient. This case highlights taking a thorough medical history, the power of listening and then putting together the clinical puzzle pieces to stay on track with this complex patient.
This is part 2 of pregnancy related pelvic girdle pain - we discuss the novel approach to interventions and the resiliency of pregnant women.
In this episode we discuss the evaluation of pregnancy related pelvic girdle pain and why it is important not to dismiss these women. The Pelvic Girdle Pain Questionnaire reference is here: https://academic.oup.com/ptj/article/91/7/1096/2735055/The-Pelvic-Girdle-Questionnaire-A-Condition#87502769
Did you know that right knee pain can be caused by an imbalance in your center of mass? Erica and Susan discuss in this podcast how treating the left hip as well as the left side of the low back, got rid of this young golfer’s knee pain. A functional and interactive evaluation really hones in on where the true source of his knee pain lies.
In this podcast we discuss a client with a four year history of hip pain and diagnosis of labral tear. We explore her hip diagnosis vs. a central mediated pain syndrome that had her running from PT to PT and Doc to Doc without resolution of her symptoms. Find the solutions here!
A continuation of the prior episode. Solving a complex case of right sided low back pain. Susan and Erica further discuss the evaluative process as well as some novel treatment solutions for this particular patient.
Did you know that persistent low back pain can emanate from sources FAR from the back? Susan and Erica introduce a patient with chronic low back pain and their alternative approach to physical therapy evaluations. The source of the problem is not where you think it is! In her case, it was the neck. A unique clinical reasoning process helps uncover where the true cause lies.
