Jony Sena

Will PT Help my Plantar Fasciitis? INTRO: 1 in 10 people in the United States experience persistent pain along the bottom of the foot.  A condition commonly diagnosed as plantar fasciitis.  In the US, outpatient clinics receive more than 1 million visits a year from people seeking help for this type of foot pain.  In 2014, the Orthopaedic Section of the American Physical Therapy Association published updated clinical practice guidelines on the best treatments for patients with plantar fasciitis.  The guidelines present evidence that strongly suggests a combination of manual therapy and rehabilitative exercises to help patients with this foot condition. RESULTS: The researchers studied a database of 819,963 patients diagnosed with plantar fasciitis.  Only 7.1% of these patients were prescribed physical therapy. Overall, patients sent to physical therapy received: Manual therapy 87% of the time. Supervised rehabilitative exercises 90% of the time....

Goal of the Study? Lumbar spinal stenosis affects approximately 11% of the population, primarily in the adult population. 1  In this article, the authors worked to provide a clinical update giving practitioners a “what you need to know” perspective on the ins and outs of clinical practice.   Why are they doing this study? Because of its prevalence and challenge to accurately diagnose, it is important to understand the clinical presentation of lumbar spinal stenosis from a symptomatology standpoint. This careful attention to a patient’s symptoms can help guide an appropriate care plan. The clinical challenge can be cloudy as other conditions like vascular claudication can lead even the best clinicians down the wrong diagnostic path.   What was done? A review of the anatomy is important when understanding the clinical symptoms of lumbar spinal stenosis. In this clinical update, the authors revisit the degenerative changes of the spinal canal and the interverteb...

Goal of the Study? These researchers sought out to answer the question of does reassurance helps patients with acute low back pain? In this study 1, the authors looked at two hundred and two people with acute low back pain with a high risk of developing chronic low back pain. They were curious as to whether helping someone with supportive psychological language could help reduce disability outcomes. Why are they doing this study? The current zeitgeist and research push has emphasized reducing nocebic iatrogenic influences and steering away from the biomedical model. This has naturally led to alternative strategies like the use of emphasized reassurance tools.  However, does this strategy alone make a difference? Bulging Disc Model What was done? Using a randomized sham-controlled clinical trial mediation analysis, these researchers compared patient education to sham patient education. Enrolled participants listened to either: 1. two 1-hour sessions explaining the benig...

By Dr. Sean M Wells, DPT, PT, OCS, ATC, CSCS, CNPT, NSCA-CPT, Cert-DN Since the 1980s many dietary guidelines promoted the notion of a low-fat diet in order to reduce cardiovascular disease (CVD) risk. Over the next 30 to 40 years healthcare providers and nutrition researchers found that simply lowering dietary fat alone is not the only answer to reducing heart disease. This is likely because those consuming a low-fat diet may still include junk foods, meat, and smoking -- which have all be directly correlated with higher risk of heart disease, comorbidities, and mortality. Data show that most plant-based oils and fats from sources like nuts, seeds, and some oils can actually be beneficial in lowering heart disease risk. Could a plant-based diet, which includes fats from plant-sources, be better than a low-fat diet? A  recent publication  provides physical therapists and other providers just the answer. The new research , coined Coronary Artery Risk Development in ...

In this episode, Erson goes over newer drivers (triggers) of TMJ dysfunction and pain. Andrew gives his take on the findings and they also go over some clinical pearls for TMD Patients 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.rssmix.com/

Foot & Ankle Characteristics Associated with Falls in Older People BACKGROUND: Falls affect approximately 1 out of 3 Older Adults. Foot problems are amongst the potential modifiable risk factors. Pol et al. (2021) investigated the associations between foot and ankle functional and structural characteristics with falls in community-dwelling older adults. METHODS: 187 community-dwelling older adults aged 62–90 years were studied. Foot & ankle structure and function (including foot posture, range of motion, muscle strength, deformity, pain and plantar loading patterns during walking) were measured. Fall history was documented in the preceding year. RESULTS: 74 Participants experienced a fall (~40%). Factors significantly and independently associated with these falls: Less first metatarsophalangeal joint extension. Less plantarflexor muscle strength. Greater pressure-time integral in the medial forefoot. Greater center of pressure velocity in the forefoot. G...

⚡️Full-Body Combo Exercises⚡️ When it comes to loading in order to achieve a desired adaptation, there are many ways to “skin the cat” in a training program for your athletes. The purpose might be to pose a novel stimulus, increase the overall intensity, or place an emphasis on coordination and stability. Whatever your desired goal may be, I have found these following 4 exercises to consistently live in my “full-body combo” coaching toolbox for quite some time. These are what I would consider bang-for-your-buck exercises that challenge several things at once—and—I’m sure you’ll enjoy! 1. DB 1-Leg RDL Iso w/ 1-Arm Row 2. DB 1-Arm Bench Press w/ 1-Leg Hip Thrust Iso 3. KB Front Rack Slider Reverse Lunge 4. DB Bench Tall Plank w/ 1-Arm Row via @matthewibrahim's instagram Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. Y...