She is in a flexed position for prolonged periods of time at work. During this time the patient experienced a significant improvement in function. Patient presented with pain, tightness, and limited movement throughout her lower back and hips. He is now able to be physically active without pain or tightness in legs. History: Date of Onset: 9/20/2013.She was in a Motor Vehicle Accident and was T- boned by a school bus. Walk normal 2. He demonstrated with hypo-mobility throughout his entire spine; and palpation demonstrated neuromuscular dysfunction present in the nervous, parasympathetic, visceral, dural, and venous-lymphatic fascial systems. She demonstrated with hypo mobility in the cervical and thoracic spine, FRS (flexion, rotation, and side bent) mechanical dysfunction per muscle energy technique of the cervical and thoracic spine, and palpation demonstrated dysfunction present in the visceral, venous-lymphatic, arterial, neural, dural, cranial, and musculoskeletal fascial systems. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). She was restricted from activity until April 2013. Failing to report to the board, where there is direct knowledge, any unprofessional, … His daily routine (walking, bending, lying down), recreational, and social activities were affected to a moderate degree. chiropractic care and massage therapy without lasting relief. Treatment consisted of a combination of techniques including Dry Needling Technique, Kinesio taping, Therapeutic Exercise, and Education on proper Self Care and Management Strategies. Discharge: 6-23-15, Monday: 7:30am - 5:00pm Case Reports from 2019 PDF. Treatment The patient demonstrated a positive response to strain counterstain techniques immediately following the first treatment session as shown by increased cervical rotation range of motion bilaterally. Pain is occasional and is 2/10 at its worst. Discharge: 8-28-15 At the time of discharge this 9 year old was able to walk normal, jog, run, go up and down the stairs, and play without pain. Her main functional concern was that she was unable to pick up her 3 year old daughter without significant aggravation of symptoms. *After the first treatment the patient reported the restless leg attacks have been less severe and it has taken longer for symptoms to come on while driving and sitting watching TV. You may need to write a case report as part of a class, your job’s paperwork requirements, for billing purposes, to comply with professional providers, or other reasons. Sleep quality has improved significantly. She experienced overall decreased tension and complete relief of her jaw tightening or locking up for one complete week. Strain Counter-strain was performed to the nervous system including the vagus nerve 1-3; the visceral system including the ureter, inferior kidney, superior kidney, duodenum, sigmoid colon, and cecum; and the anterior lumbar spine; Kinesio taping was applied to the left gluteus medius and the lower back; Muscle Energy Technique was performed to improve alignment of pelvis, sacrum, and lumbar spine; Joint Mobilizations were performed the lower thoracic, lumbar, and sacral spine; and Therapeutic Exercise instruction for improved spinal alignment. 6-11-14- Initial Evaluation at Burkhardt Physical Therapy Center: (15-20 years after symptoms became frequent) He demonstrated with tightness and tenderness to a moderate degree throughout the muscles in the neck, shoulders, low back, hips, and legs. Previous Treatment Her symptoms no longer affected her work, sleep, daily routine, recreational and social activities. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. She rated the pain from 7/10 to 10/10. A Case Report: Physical Therapy Management of a 25-year-old Female Experiencing Whiplash and Low Back Pain Physical Therapy Doctor of Physical Therapy In presenting this Scholarly Project in partial fulfillment of the requirements for a graduate degree from the University of North Dakota, I agree that the Department of Physical Therapy shall make it freely available for inspection. Pain was rated at 0/10 at its best and 7/10 at its worst. This 30 year female was injured on the job as a CNA 10 months prior to coming to Burkhardt Physical Therapy Center, LLC for treatment. She demonstrated with forward head and shoulders, increased lumbar lordosis, bilateral knee hyper-extension, thoracic spine severe hypo mobility, sacral spine hypo mobility, pubic bone misalignment, and lumbar spine mechanical dysfunction. You could write a case study to represent a typical or an unusual case presentation and share your successful program with your colleagues. If you have unexplained symptoms of pain and weakness please don’t hesitate to call us at Burkhardt Physical Therapy Center with questions. The following treatment sessions focused on decreasing neuromuscular, myofascial, and mechanical dysfunction by using Fascial Counterstrain to the dura, lymphatic, nervous, and visceral system; deep and superficial myofascial release to the neck, shoulders, back, chest wall, and rib cage; joint mobilizations to the spine, glenohumeral joint, scapula, and right hip; intramuscular trigger point release/dry needling technique to the neck, shoulders, and arms; cervical traction; therapeutic exercise including diaphragmatic breathing, upper body stretching, and scapular re-training; Muscle Energy Technique to the pelvis, sacrum, and lumbar spine; Kinesio taping to the bilateral neck and shoulders; patient education/self care management including postural re-training, self occipital release,  thoracic  and lumbar mobilization, decompression of TMJ, and nerve glides to the bilateral median, radial, and ulnar nerves, and proper sleeping positions .
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