Jony Sena

It is well known that vestibular rehabilitation is an effective program for many patient profiles that can walk into a physical therapist office.  A well-planned and adjusted program based off of symptoms is the basis behind strategies to improve Chronic Unilateral Vestibular Hypofunctions, Bilateral Vestibular Hypofunctions, mTBI and post-concussion syndrome. It can be individualized through a tailored, progressive program to the patient for effective outcomes. Improvement is typically gradual as the system adapts and includes a home exercise program. Classical signs and symptoms of vestibular dysfunction that would warrant vestibular rehabilitation include  dizziness ,  vertigo ,  disequilibrium , nausea, and visual impairment.  With the ongoing scientific research showing neurological connections via several reflexes and mismatch theories of afferent information, a healthcare provider should also consider vestibular rehabilitation for chronic neck pain....

Many thoracic, shoulder, cervical and some lumbar cases require breathing assessment and rib treatment. For my thoracic/breathing lab in a recent live Modern Manual Therapy Seminar, one of the participants suggested that the patient cover her own breast to make the physical boundaries of the assessment and treatment more concrete. Even though you may explain the technique or assessment, the patient may feel uncomfortable, not really understanding what you were going to do. Having them cover themselves is an additional layer to a potentially mentally uncomfortable technique. 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 Therapy! ...

[ACHILLES TENDINOPATHY REHAB PRINCIPLES] 👣 Originally found on Brad Beer's instagram , reposted with permission. _ ☝🏻When it comes to Achilles tendinopathy the basics as outlined above work 👀 _ 👉🏻Great example: recreationally competitive South African Ling course triathlete with 8months of pain & limitation: tried passive modalities-Graston, remedial massage, orthoses, taping & an underloaded set of exercises, fear avoidant of running & wondering if surgery would be required 🤔 _ 👉🏻With reduction in speed work & volume 20-30%, and addition of progressive loading program -the triathlete (Gav) is now well on his way 🎽 _ ‼️TAKE HOME: if you are struggling with persisting Achilles Tendinopathy consult w a practitioner that can prescribe you a losing program to assist returning the energy storage to the tendon ( & be patient!) 👟 Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online! ...

I recently was back on the 2 Docs with 2 Cents Podcast, one of my favorite podcasts to be interviewed on! Drs. Leon and Carrie Knight are always a blast and this time we talked about an issue in the online rehab (and world) community of tribes or camps. If you've ever spent any time on social media for PT/Rehab/Fitness you'll see everyone doing some normal and crazy things. You'll also see them getting trolled by armchair experts who are so rude, you'll wonder how they ever work with their own caseloads. My advice, don't engage unless you love wasting your time! Listen to the podcast below! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - New online Discussion Group! 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, hundr...

Recently I listed to a fantastic podcast by Jo Gibson through Clinical Edge on Thoracic Outlet Syndrome and was thrilled to learn some advances which have taken place in our knowledge of this condition since I first published a blog on the topic in 2013. Seven years later and I am excited to share a revised piece that includes the latest ideas around clinical assessment, and in particular sensory testing in the differential diagnosis of this challenging condition. Thoracic outlet syndrome (TOS)  is a syndrome/condition that encompasses a cluster of upper extremity symptoms which are due to compression of the neurovascular bundle by various structures in the area just above the first rib and behind the clavicle. The three most common regions where compressions is thought to occur is the  intrascalene triangle, the costoclavicular triangle and the subcoracoid space . Thoracic outlet syndrome was first described in 1927 by Adson and colleagues and known at this time a...

🔹Overhead pressing has been a hotly debated topic over the years in the rehab as well as strength and conditioning field. 🔹We have the belief that overhead movements can be perfectly safe, especially if we can build constraints around the exercises to optimize the effectiveness of the exercise while reducing any potential risk of injury. 🔹Here are some great ways to incorporate overhead variations into a training program for better outcomes. re-posted with permission from Barbell Therapy and performance - follow him on instagram! 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 Therapy! Keeping it Eclectic... This article was...

In this episode Dr. Dana Palmer recounts a persistent wrist injury that flares up now and then for years. She recently took Modern Manual Therapy's seminar live. Despite being in our online mentoring group and live mentoring with Erson for years, she was surprised at an accidental finding for her persistent wrist pain. 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/