Jony Sena

In this episode, Andrew talks about using a "softer approach" recently with his patients and having good success. He goes over these "soft skills" that aren't often taught in Modern Rehab Mastery , our online 4 month mentoring program. 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 Google Workspace 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 -  Join now ! 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 8246...

Cervicogenic dizziness has been described in the medical literature to be caused by functional problem of the cervical spine associated with postural alignment, proprioception and range of motion. Although cervical dizziness is controversial, we have large randomized controlled trials and systematic reviews saying that  manual therapy and exercise can help with dizziness frequency, intensity and duration . However, until two chiropractic pieces have arisen in the last few years, we didn’t know if an  improvement in cervical lordosis  can be linked to improvement in neck dizziness. I find these article interesting on several accounts, but mostly due to a measure of actual cervical lordosis that physical therapists do not have the capability nor training to examine. Let’s explore more. The first trial comes from Moustafa et al in 2017 entitled, “ The effect of normalizing the sagittal cervical configuration on dizziness, neck pain, and cervicocephalic kinesthetic se...

Effects of Sleep on Muscle Recovery INTRO: Sleep is known to impact several physiological factors, including: Glucose. Lipid metabolism Blood pressure Eating behavior Energy metabolism Hormonal secretion Immune system Sleep has also been consistently linked to exercise performance. However little is known about the role of sleep in muscle recovery. Dattilo et al. (2020), evaluated: Recovery kinetics of the peak isometric force Profiles of hormones and cytokines during 48 h of total sleep deprivation followed by 12 h of sleep after an eccentric exercise-induced muscle damage (EEIMD) protocol METHODS: DEPRIVATION GROUP: “muscle damage” protocol was followed by 48 h of total sleep deprivation and 12 h of normal  SLEEP GROUP: same muscle damage protocol, followed by three nights of regular sleep. Isometric muscle voluntary contraction tests and blood samples were analyzed. RESULTS: Muscle voluntary contraction and serum creatine kinase increased equ...

In this episode, Erson talks about one of his favorite patients who attended a live seminar. The instructor kept boasting, "I've Never Made a TMJ Patient Worse." He ended the case thinking the same thing, but he was sadly mistaken. 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 Google Workspace 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 -  Join now ! 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....

Goal of the Study? In this review  1  the authors examine 76 cases of spontaneous  herniated cervical discs  and one direct patient experience to understand the phenomenon better. Why are they doing this study? Spontaneous regression of herniated lumbar discs has been well researched. However, spontaneous regression of herniated cervical discs has not been examined to the same extent. For this reason, the authors felt it essential to do a review of the existing literature, as well as one case study. What was done? Using PubMed and EMBASE databases, the authors found 75 cases that related to “spontaneous regression,” “herniated cervical disc,” and “MRI studies.” Patients averaged 41 years of age and were split equally male and female. In addition, they used a case study of one patient who had been experiencing neck pain for three weeks, right upper extremity radicular pain and right C7 distribution weakness and numbness. This patient’s cervical MRI showed a ...

Accuracy of High Ankle Sprain Tests INTRO: A high ankle sprain involves injury to the distal tibiofibular syndesmosis, a fibrous joint stabilized by four ligaments: AITFL, IOL, PITFL, TTFL. Syndesmotic injuries take 2x as long vs. a low ankle sprain to return to sport. Inaccurate or delayed diagnosis can lead to repeated episodes of ankle instability, predisposing to early degenerative changes, and post-traumatic OA. Diagnosis should quantify the degree of instability, as unstable injuries are prioritized for surgery vs. conservative treatment. Arthroscopy, MRI, & diagnostic ultrasound provide high sensitivity and specificity, however, access may be limited. Physical examination remains a central tenet for diagnosis, including: Squeeze test External rotation test Cotton test Crossed-leg test Heel-thump test Palpation This systematic review determined the diagnostic accuracy of clinical tests and proposed an algorithm for optimizing test clustering. RESULTS: ...

Can Craniosacral Osteopathy help Dizziness? As consistent authors, teachers and clinicians that diagnose and manage dizziness disorders, especially from the cervical spine, we always research the newest information out there to help persons with these conditions. I found a recent journal article out of Turkey by Atay et al examining the effect of craniosacral osteopathy on dizziness and balance in individuals who have peripheral vestibular pathology. The participants who were diagnosed with chronic vertigo were divided into two groups: 1. Cranial osteopathy treatment group Impairments of cranial, cervical, thoracocervical, and facial dysfunctions were determined by and treated with muscle energy (postisometric relaxation), fascial stretching against tension, and craniosacral treatment methods. Prescribed dosage: Total of 6 sessions (once/week for 60 minutes) 2. Dimenhydrinate This medicine is an antihistamine over the counter drug intended to treat motion sickness, di...