Jony Sena

Individuals who have dizziness from cervical origin typically have several general symptoms, including neck pain, balance impairment including unsteadiness, lightheadiness and drunkeness.   Types of patients with this condition range from the elderly with cervical arthritis (slow onset of symptoms) to status-post mild traumatic brain injury (mTBI) following a concussion or whiplash (fast onset of symptoms). For the purpose of this post, we will examine the importance of cervical extensors in Cervicogenic Dizziness. Considering head extension is a primary impairment for onset of symptoms in the Cervicogenic Dizziness population, this is a significant area of interest. The suboccipital musculature is central to promoting and resisting head motion.  These motions include flexion, extension, and rotation. The suboccipital musculature associated with cervical extension are the rectus capitis posterior major (rectus capitis-PMaj), rectus capitis posterior minor (rectus...

If you have a 10-15 min commute, and love PT, manual therapy, interesting cases and most importantly, fail stories, you NEED to catch up on our podcast, Untold Physio Stories.  #5 - Changing Lives and Saving Limbs don't underestimate what some education can do  if you ever face adversity with educating another provider or a health care team, be persistent and have faith in your knowledge base! you may change hundreds or thousands of lives as a result! #4 - You're Not Wrong in the modern age of Therapeutic Pain Neuroscience Education, we all try to downplay fear avoidance but sometimes it can blow up in your face #3 - Stress Adds Up in this extra long 20 min podcast, Dr. Ben Stevens of Somatic Senses Education goes over his unexplained symptoms, how they changed his life and the steps he took to overcome these chronic issues #2 - Clinic Pet Peeves We all have pet peeves, including professional ones, in this episode Erson goes over his pet peeves and o...

This is an unexpected part 2 from our last episode - Sometimes You Just Have to Rant! While Erson was impressed at the patient's acceptance of how sore she was after treatment, he didn't expect a simple screen and solution to it. How often do you screen after manual treatment if function is improved but soreness is increased? Search for Untold Physio Stories on your favorite music/podcast apps!   Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at  edgemobilitysystem.com  .  Be sure to also connect with Dr. Erson Religioso at  Modern Manual Therapy  and Andrew Rothschild at  Modern Patient  Education . Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

A new study suggests that people with Lewy body dementia and Alzheimer's have distinct walking patterns that may match cognitive and disease changes. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

This post was first found on Specialist Pain Physio blog - reposted with permission. What are your triggers? Jaw pain is a common problem. It is rarely stand alone, co-existing with other painful problems such as neck pain, headaches, migraines, IBS, pelvic pain and other persistent issues. People describe tension, clenching, clicking, stiffness, tightness, aching and more. The impact ranges from irritating to disabling, especially if the cause is dystonia. I see both. Working out your triggers is important. Learning about the situations when you tense your jaw allows you the opportunity to create a new, healthy pattern. Often is when we feel stressed because we are interpreting a situation in a particular way. Pema Chodren talks about our ‘hooks’, which are the things that make us go ‘grrrr’. This is embodied and we tense, classically around the neck and shoulders. Doing this repeatedly creates a pattern and a habit. The cost is often pain. So, what makes you go ‘grrrrr’ and ...

Choose your own convention experience!  Build your own customized convention experience at AMTA 2019 National Convention. Whether you choose the full three days or a single day pass, you’ll hear from inspiring speakers, learn from leaders in the massage therapy profession, and meet like-minded peers from across the country at social events. Here are just three of the many ways you can join your massage community at AMTA 2019 National Convention:  Full 3-day Convention Registration includes general sessions, education sessions, exhibit hall access and community and social events Thursday - Saturday  $484 AMTA members | $550 Non-members Single-day passes include general sessions, education sessions and exhibit hall access for your day of choice $175 - $315 AMTA members | $195 - $340 Non-members Exhibit hall 3-day pass includes access to general sessions and exhibit hall access including social events in the exhibit hall for all three days $20 AMTA members | $25 Non-m...

Another awesome infographic via Brad Beer ! [5️⃣ RELATIVE ENERGY DEFICIENCY IN SPORT, RED-S INDICATORS] 📝 _ 👉🏻 Relative energy deficiency in sport (RED-S) is the result of insufficient caloric intake and/or excessive energy expenditure, which results in ‘low energy availability’. Low energy availability is where an individual's dietary energy intake is insufficient to support the energy expenditure required for health, function and daily living, once the costs of exercise and sporting activities are taken into account 🔽 _ 👉🏻Health consequences of this low-energy condition can alter many physiological systems, including metabolism, menstrual function, bone health, immunity, protein synthesis, and cardiovascular and psychological health. These health consequences are depicted in a prior recent post of mine (see gallery 👀) _ ⚠️Unfortunately diagnosing RED-S is not ‘clear cut’ and currently there is no definitive diagnosis, or definitive consensus tool. As result ...

Have arm or leg pain when driving? It's difficult to stretch or find a movement or position that relieves it. Here, Dr. Dana Palmer, part of our Modern Rehab Mastery Online mentoring cohort and myself go over accidentally found, but easy to perform solutions that may help your arm or leg pain/numbness. Solutions for Arm and Leg Pain While Driving Check out our amazing 3 month online mentoring Modern Rehab Mastery Want to learn live? Here's our current course calendar ! Can't make it to any of our live dates? All our seminars are also online and eligible for CEUs ! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Thera...

Leg cramps at night, or nocturnal leg cramps, are often linked with overuse or underuse of the muscles, but medical conditions may also be the cause. Learn about causes and treatments here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Always be wearing of people who say always, and never trust people who say never! Always! That's one of my favorite quotes, and it's especially true in the dogma of healthcare and tribalism that clinicians get caught up in. Brad Beer  has an awesome infographic about 5 Foot Orthoses Myths that I posted below. What are your thoughts? I used to make custom orthotics, then thought everyone needed to train barefoot, got caught up in that "Born to Run" phase, then per the normal progression, realized the middle ground is where you should stand on support, shoes, and orthotics. Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Man...

Leg cramps at night, or nocturnal leg cramps, are often linked with overuse or underuse of the muscles, but medical conditions may also be the cause. Learn about causes and treatments here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Hamstring "tightness" is mostly just perception and very rarely is it really a length issue. When active straight leg raise is limited/tight/painful and passive straight leg raise is significantly improved in mobility (but not necessarily intensity), you can easily reset it. Alternating manual resistance through the range of hip flexion and extension is a great way to improve the feeling of hamstring tightness. Hip flexion will often feel difficult for the patient to resist and will feel weak to the clinician doing the resistance. Starting out with light resistance and gradually increasing the amount should improve this as often it's inhibition and not true weakness. After several reps, re-test ASLR and PSLR, it should be improved. The patient can then stabilize and work the new range with ballistic core activated ASLR. The full video with explanation and additional stabilization exercise for home program are on Modern Manual Therapy Premium ! Eval, Reset, and Stabil...

There is no cure for a stutter, but there are several steps that can help a person reduce stuttering. These steps include quick tips and long term treatment. Learn about them here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

The JOSPT recently published (Sep 1, 2019) new Clinical Practice Guidelines for treating Patellofemoral Pain. Several years ago, these guidelines were mostly generic and exercise based, but more and more, are well researched and something you should review. Students who could use a refresher on treating knee pain should look at these latest CPGs. Things that stand out and mesh well with The Eclectic Approach use functional testing like a squat, single leg squat, step downs manual therapy and taping should only be used in conjunction with exercise, taping beyond 4 weeks is not effective categorization of patients who respond to hip/knee strengthening exercises, improvements in motor control, or mobility ⁉️don't use dry needling? - but acupuncture is ok to use⁉️ modalities are not effective Things that are still outdated flexbility deficits of the lateral retinaculum or ITB⁉️⁉️⁉️  The full CPG is available on JOSPTs website without a subscription. What are your thou...

Many patients (and clinicians) should get into regular habits of improving their overall health. Those with chronic issues, slow recovery, low energy, or multiple comorbidities can benefit from adding these activities to their daily schedule. Many times, the nervous system is ramped up and recovery is slowed down, leading to slow or non-responders.  You need to train recovery just like you would for strength, performance, or fitness. When time and traditional rehab takes care of issues, not all of these things are needed. Overall, incorporating eating real foods (especially fiber), improving sleep quality and duration, and exercising regularly are things most people can do better. If you're not doing it yourself as a clinician, how do you expect your patients to follow through with these health changing strategies?  We have an entire online seminar on Modern Patient Education - incorporating all of these strategies and how to maximize therapeutic alliance with a pati...