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physical therapy case report example

Symptoms were on and off and varied from day to day with intermittent numbness and tingling in bilateral hands. The combination of Fascial Strain Counterstrain, Dry Needling Technique, Therapeutic Exercise, Soft Tissue Mobilization, Kinesio taping, Myofascial Release, and Patient Education all played a role in helping Alyssa become well. Pain was so severe she could not sit, stand, or lie down for more than a few minutes in any position. The pain has decreased in intensity, frequency, and duration. This 28 year old female complained of left lower back pain which was constant and aching. Symptoms were eased temporarily by nasal saline washes  but only a small change. © Copyright 2017 Burkhardt Physical Therapy. She was able to run and play and her pain was significantly reduced. Stand on tip-toes 5. First Treatment And if you have tried other methods of treatment with minimal results or temporary relief it is best to give yourself another option- including Burkhardt Physical Therapy Center. 8-15-14: Patient is doing well. Initial Evaluation at Burkhardt Physical Therapy Center: 9-29-14 Case report writing in a Doctor of Physical Therapy Education program: A case study ... but there are few examples of the teaching and learning activities used to prepare students to write a case report. Sincerely, Lyle Helke- Stoddard, WI May God bless you all. It became sharp with certain movements. Thank you”. History We asked her what we are doing well and she stated, “Warm, Safe, Friendly, Honest, Caring environment that puts their patients healing first”. West Salem, Wisconsin. Pain started with worsening shoulder pain and restriction, and then worsening hip pain and restriction. Initial Evaluation (9-15-15) Patient presented with pain, tightness, and trigger points to right more than left lower leg muscles and decreased bilateral hip ROM. This patient not only had significantly reduced pain (1/10 pain rating at the worst) but improved sleep and daily functioning. Word count. . Conclusion Patient was instructed to diaphragmatic breathing and proper posture and alignment. He continues to have restless leg symptoms but much less often and to a significantly lesser degree. Conclusion: Patient met all of his goals, he is even playing basketball without pain after only 4 sessions of physical therapy. Subsequent treatments Conclusion: Although this patient received prior pediatric physical therapy, podiatry, and pediatric orthopedic consultation without change it was evident that something was still wrong as she was reporting pain all of the time and was unable to walk correctly or enjoy the normal play of a 9 year old. These symptoms were drastically affecting my daily life at night while trying to sleep, throughout the day while working and also dramatically affecting being around my children. The strain counter strain technique, dry needling and other techniques that Burkhardt PT are known for that are not seen in mainstream PT have been that push I needed for my body to get better and heal.”. Prior to her injury she was very active without restrictions- running, etc. Her symptoms no longer affected her work, sleep, daily routine, recreational and social activities. This patient not only reduced his pain significantly (down to NO pain at times) but improved his overall function 80-90%! I get complete relief of pain up to 4-4 1/2 days, and it keeps progressing to longer periods of time with more treatment.”. Jump. I highly recommend Burkhardt Therapy to all who are having chronic pain, headaches, fibromyalgia, jaw pain, past surgical back pain, joint pain, vertigo, dizziness, sport injuries, etc. She did get better, but symptoms never resolved. Treatment consisted of a combination of techniques including Dry Needling Technique, Kinesio taping, Therapeutic Exercise, and Education on proper Self Care and Management Strategies. As it bothered me when chewing food too. The combination of Fascial Strain Counterstrain, Therapeutic Exercise, Joint Mobilization, Myofascial Release, and Patient Education all played a role in helping this patient become well. Abstract. add links to related Physiopedia pages here. The following treatment sessions consisted of decreasing remaining dysfunction through Strain Counter-strain of the anterior lumbar spine; Myofascial Release to the neck, shoulders, back, gluteus maximus, piriformis, gluteus medius, and quadratus lumborum using neuromuscular principles; Intramuscular Trigger Point Release to the bilateral upper trapezius, piriformis, tensor fascia latae, gluteus medius, L5 paraspinals, quadriceps, external obliques; Kinesio taping to the bilateral upper trapezius, levator scapulae, interscapular border, and across low back/SI; Therapeutic Exercise including inner core re-training, scapular mobility exercises, and scapular re-training into retraction and depression to promote improved posture; Patient Education/Self Care Management included instruction to proper sleeping positions, pain relieving strategies, proper bending and lifting mechanics and instruction to patient and patient’s spouse on application of self Kinesio taping. During this time the patient experienced a significant improvement in function. Put all of my weight on my left foot 3. The patient received a total of 5 treatment sessions from 4-15-15 to 4-28-15. WE CAN HELP! Occupational History: retired, from police department- administrative. This case study shows that even if you have experienced pain for the last 20 years there may be help for you! These symptoms were aggravated by sitting or standing prolonged, bending, computer work, sleeping, and upper extremity exercises. With first onset of symptoms she tried chiropractic care for one month with minimal relief. She was unable to stand independently or fully weight bear on her legs and her legs were tight and painful to the touch.  The patient received a total of 9 treatment sessions from 3-12-15 to 6-23-15 including a primary technique of Fascial Counterstrain (a skilled manipulation of the body’s deep fascial receptors with the goal of normalizing associated pain and spinal cord reflexes that maintain spinal cord central sensitization). The treatment is gentle and very effective. Previous Treatment Previous treatment Initial Function: Symptoms interfered or affected  to a significant degree  with work, sleep, daily routine, recreational and social activities. After 6 visits the patient reported, “Headaches gone. Discharge: (10-8-15) Patient demonstrated significant improvement with physical therapy including minimal to no limitation with walking, toe raises, and going up and down stairs. Fascial Counterstrain screening indicated she was positive for neuromuscular dysfunction in the nervous, visceral, venous-lymphatic, arterial, dural, and periosteal fascial systems.

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