Jony Sena

This Friday is diving into the inflammatory process with 5 things every clinician should understand when managing inflammation. Inflammation has the connotation of being bad or harmful which should be stopped immediately. However, this is not always true as inflammation signals the repair and healing phase. Check out these 5 facts and drop any comments you have below. 👉Inflammation is a Normal Process with Acute Injuries - Inflammation and muscle regeneration are closely interconnected through complex cellular, physical, and chemical interactions which is beneficial during acute injuries, but can be detrimental in chronic conditions 👉Anti-inflammatories are NOT recommended during acute injuries - Anti-inflammatory drugs target an enzyme known as COX-2, which when it is inhibited, it will have a direct effect on the proliferation of satellite cells thus impairing muscle healing 👉NSAIDS are inefficient for chronic systemic inflammation - When inflammation becomes more s...

Over the past decade physical therapists (PTs) have been branding themselves as “movement specialists” and “experts in exercise.”  Much of this branding has come from the help of the American Physical Therapy Association ( APTA ), as well as the advancement of the entry-level PT degree from Masters to Doctorate (DPT). With a new image and education, PTs are even better positioned to be in primary care, prevention, wellness, and many other settings other than simple outpatient clinics and hospitals. Despite such a push for new branding and education, a burning questions still exists within the physical therapy profession: can PTs give nutrition advice? What the Profession Says Such was the topic during the  Oxford Debate  at last year’s (2018)  APTA Next Conference  in Orlando, FL. I was fortunate enough to be in the crowd and enjoy some of the action. If you’ve never been a part of the Oxford Debate then let me offer you a summarization. Two panels of ex...

Persistent musculoskeletal pain is a global burden, second only to cardiovascular disease (Hegarty, 2018). Chronic or persistent pain is described as lasting three months, while also recognising it is multifactorial, complex and involves disease of the nervous system (Perrot et al., 2019). Persistent pain is linked to central sensitisation, describing changes to the central nervous system due to pain hypersensitivity (Woolf, 2011). Given the correlation between pain hypersensitivity and persistent pain, it seems very important to assess this sensitivity. Many factors can influence pain hypersensitivity, including sustained peripheral nociception (inflammation or trauma), genetics, environmental and psychological factors. Certain cognitive factors, such as kinesiophobia and catastrophising, have been shown to influence pain sensitivity and are linked with persistent pain (Georgopoulos et al., 2019; Traxler, Hanssen, Lautenbacher, Ottawa, & Peters, 2019; Zusman, 2002). Pain ...

💥𝐀𝐜𝐡𝐢𝐥𝐥𝐞𝐬 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠💥 - Reposted with permission from @ rehabscience ——— 📚The achilles tendon is a thick fibrous cord that attaches the ankle plantarflexors (calf muscles) to the heel bone (calcaneus). If this tendon is stressed beyond its capacity, such as with a forceful stretch or a powerful contraction, a tendon rupture can occur. - 🔎Achilles tendon tears, like this great image from  @drjohnkennedy , usually occur in recreational athletes who participate in activities that require the calf muscles to produce large forces, such as basketball, beach volleyball and soccer. - 🧠Normally, we wouldn’t think of these activities as being particularly dangerous, but, in the case of the ‘weekend warrior’, who is often mostly sedentary during the work week, problems can arise. In these types of athletes, it is not uncommon to see a situation where the musculoskeletal system is somewhat deconditioned and may not possess the capacity for explosive, forceful mov...

In this episode, we're joined by Dr. Sean Wells, of Nutritional Physical Therapy . Sean goes over a memorable case where modifying someone's nutritional habits plus standard PT helped with their chronic knee pain. Dr. Wells and The Eclectic Approach are hosting a webinar July 29, 2020, 8 pm EST - Sign up here ! 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 Learn more online - new online discussion group included! Want an approach that ...