Untold Physio Stories S9:E8 - Running and Rubbing the Wrong Way

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Top 5 Fridays! 5 Things in Physical Therapy We Cannot Ignore Anymore!

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This post… has been a long time coming. It’s needed. It will not be comfortable. And, it shouldn’t be! If you’ve read any of the below posts… 3 Positive Culture Shifts PTs NEED To Make 3 Business Competencies PTs NEED To Know And, this post from March of last year:  Bridging The Gap . You know what I’m about, and, you know for the most part that I nigh annoyingly positive, constructively inclined, and inherently optimistic. Rarely, do I flat out say something needs to stop. Well… today is one of those rare days. 5 Things in Physical Therapy We CANNOT Ignore Anymore 1. The Debt It isn’t just because there are, for the most part, daily online conversations about the tremendous student debt happening in the field of allied rehab therapy. It’s not just because I get regularly flooded by questions in my many inboxes on the matter of personal finance and career path. The reason we NEED to talk about the debt, isn’t even for the sake of student debt, itself. I believe it...
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Real-Time Visualization of Joint Cavitation

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How do you explain to patients what the cracking/popping sound is when you manipulate them? How about when they stretch or move on their own and get their own audible cracks? You can find anything on youtube, while looking for recent articles on Cavitation, I found a great youtube video showing a the cavitation in real-time. I normally describe the cavitation as a negative pressure within the fluid filled joint capsule. The negative pressure forms a gas bubble, which is normally diffused into the synovial fluid, then pops from the movement or distraction of the two surfaces coming apart. I usually use my two hands clapsed together and pull them apart to create a suction effect. I may now just show them this video instead! Key Points cavitation is normal you can only get it with movement it doesn't put anything back into place the decrease in tone/tension and increase in mobility should be reinforced continuously until it's the new normal patient's don't n...
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[RESEARCH] Is Knee Noise a Problem?

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Noises Around the Knee INTRO: Noise in the knee joint is a common symptom that often leads to outpatient clinic visits. However, there have been no previous review articles regarding noise around the knee despite its high prevalence. Song et al. (2018) reviewed the noise characteristics according to sound nature and onset as well as factors for differentiation between physiological and pathological noises. They also described causes of the physiological and pathological noises and management of noise in the knee. RESULTS: The sounds around the knee have been described using various terms, including: Popping, Snapping, Catching, Clicking, Crunching, Cracking, Creaking, Grinding, Grating, & Clunking. Differentiate between physiological noise and pathological noise by checking for pain and swelling/effusion in the knee joint, as this is often associated with pathological noise. A loud “pop” with pain at the time of injury usually indicates damage to the ligaments or the me...
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