Jony Sena

We recently read with interest a case report in 2020 by  Dr. Odderson in the Journal of Clinical Neuroscience  describing the resolution of Cervicogenic Vertigo using botulinum toxin (botox). Albeit a short literary piece, Dr. Odderson provides sufficient information with cause/effect relationship of success using botox for Cervicogenic Vertigo after failed physical therapy, course of prednisone and two cervical epidural steroid injections. Now before you go off and recommend botox for your dizzy and neck pain patients, let’s highlight 6 clinical characteristics about the patient as described in the study  (in bold)  and OUR impression (not bolded): This patient was also diagnosed with cervical dystonia by EMG.  Anyone who has treated a patient with cervical dystonia knows it is not straightforward cervical case, especially if adding on 10 years following a traumatic event and multiple system involvement to cause dizziness. I have actually recommende...

Happy Turkey Day (if you're in the US) I hope everyone is staying safe and healthy during the holiday season. EDGE Mobility System, The Eclectic Approach, IASTM Technique 2.0, and MMT Insiders Thanksgiving sale is ON!. Everything in at EDGE Mobility System is 15% off. Coupon is auto applied at checkout! Thanks to everyone for supporting MMT Blog, listening to Untold Physio Stories, and your comments on social media.. The team and I are taking a break from blogging this week but we'll be back next week with more posts, videos, and podcasts! The coupon for 15% off is auto applied at checkout! This includes our popular and new EDGE Wonder Gun 2.0 , EDGE Suspension Trainer , The all new EDGE Restriction System BFR Cuff s 2.0 , EDGE Mobility Star - our new IASTM Tool! , EDGE Mobility Portable Treatment Table , and EDGE M obility Belts - as well as our classics - The EDGE Mobility Tool , Mirror Box , and EDGE Mobility Bands ! Sale runs from Mon Nov 23rd...

🔥FRIDAY TOP 5🔥 To end this mini series on the topic of direct access, I have developed 5 reasons as to why it can be very beneficial. Each reason is paired with moderate-high quality evidence supporting it. 5 Reasons Direct Access to Physical Therapy is Beneficial by Cameron Faller 👉IT’S COST EFFECTIVE - Seeing a physical therapist first has resulted in decreased health care costs in a variety of studies. The most likely reason for the decreased costs include reduced imaging, medication prescriptions, and need to see a specialist. 👉REDUCES LONG-TERM OPIOID USE - A retrospective study found that individuals with low back pain who saw a physical therapist first were less likely to be associated with early and long-term opioid use. 👉IMPROVES HEALTH OUTCOMES AND LESSENS DISABILITY - A higher quality study analyzed the health outcomes and disability between individuals with sciatica who were referred to physical therapy early vs usual care (i.e. medications and ...

In this episode, Erson goes over a recent case that is fixated on "knee alignment." After a lot of education and back and forth debate about it's not ruminating on joint position, scans, knee fat pads and more. It turns out the patient was really talking about dynamic alignment as in knee stability during movement, not just joint position. It was a great lesson as defining what certain obvious (to clinicians) terms might mean and verifying whether or not a patient has the same definition might prevent a big misunderstanding.  Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations  Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education A...

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By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN If you were reading the news last week then you might have seen an article that sounds something like: "Good News, Meat May Protect You from Heart Disease." While this sounds exciting and promising, many of the published media articles just don't dive into the science enough to give citizens and clinicians an educated viewpoints. Let's examine the new evidence, its science, and what impact it should have on physical therapy practice. The Article The main research paper the media is slinging around can be found in mSystems, an open access journal. The authors, Kivenson and Giovanni, published the paper title  An Expanded Genetic Code Enables Trimethylamine Metabolism in Human Gut Bacteria , which full-text can be found  here . Both Kivenson and Giovanni are researchers at Oregon State University and their primary focus is in microbiology. mSystems is a relatively new journal. Overall it h...

  🎯Spiderman Progressions ⤵️  reposted with permission from Matthew Ibrahim's Instagram 🧱 The Spiderman exercise has been around for quite some time and fits really well into the movement preparation/warm-up section of a training program. Additionally, it can also be used as a mobility "filler" drill in between your lifts and also on active recovery days for general health. 🧱 Think of the Spiderman exercise as a catch-all, full-body mobility drill. It helps to target hip joint mobility, anterior hip tissue (hip flexor and quadriceps) flexibility, mobility for your mid-back and upper back (extension and rotation), shoulder joint mobility, and even inner thigh (groin) flexibility. It's an easy go-to when you're in a pinch for time as well. 🧱 The cool thing about the Spiderman exercise is that it fits really well in most places within the warm-up since it's a dynamic, movement-based exercise that puts the wheels in motion as you prepare for your wor...

In this episode, Andrew goes over how he made a differential diagnosis of sciatica vs a gluteal tendinopathy. What are other factors that would make you think this? How would you educate the patient on their "positive" MRI findings?  Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education  Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual  Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Top 3 Nutrition Resources for PTs By Dr. Sean M Wells, DPT, PT, OCS, ATC/L, CSCS, CNPT, Cert-DN Physical therapists (PTs) are unique healthcare providers. They are doctorally prepared, trained for direct and primary care, and work in a multitude of settings. Recently the American Physical Therapy Association (APTA) released a new House of Delegate  motion  stating PTs ought to be more involved with nutrition care and should be trained and educated in nutrition further. Obviously the direct choice for nutrition care would be with a registered dietitian or nutritionist. But what if a PT has the training and legal right to provide nutrition care -- what resources does that PT have to provide optimal nutrition guidance? We will explore the top 3 nutrition resources for the PT! NutritionFacts.org Dr. Michael Greger established  https://nutritionfacts.org/  with the intent of sharing evidenced-based nutrition knowledge for everyone -- for free! The lifestyle medic...