Neck Pain

Female, 19

Diagnosis & Presentation:

Patient came into the clinic with a chief complaint of over ten years of ongoing headaches and neck pain.  She was in enough discomfort that she had dropped out of college due to debilitating pain.  The evaluation findings suggested the young woman had severe postural issues, including: forward head, anterior shoulder/scapular winging and an exaggerated curve in the lower back.

 

Clinical Treatments:

Therapy sessions included: dynamic joint mobilizations, myofascial release, manual traction, soft tissue mobilization, postural taping and re-training exercises.  Despite the chronic history and significant impairment to ADLs (activities of daily living), treatment resolved all patient complaints in 6 sessions of therapy. 

 

Outcomes:

Complete resolution of patient complaints, with the patient reporting a return to all ADLs (activities of daily living), including being able to play the piano without symptoms.  Months later, the patient reported that she remained symptom free and was returning to college.

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Shoulder Pain with Pinched Nerve

Male, 59

Diagnosis & Presentation:

Patient came into the clinic with a chief complaint of severe shoulder pain with radiating symptoms all the way down to the wrist.  The pain had been consistent since the patient injured himself doing heavy lifting and yard work; he reported being unable to return to work since his injury.  Evaluative treatment discovered a significantly limited shoulder and neck ROM (range of motion), as well as rib and elbow dysfunctions, moderate curvature in mid back and tenderness in the lateral forearm, shoulder and neck. 

 

Clinical Treatments: 

Sessions emphasized manual therapies: mobilization of the 1st rib and elbow, soft tissue mobilization, and myofascial release. HEP (home exercise plan) added to increase ROM initially then progressive strengthening program for rotator cuff and scapular stability.  Despite the severity of pain and limitations in the patient's ROM, treatment resolved his complaints in 5 sessions of physical therapy. 

 

Outcomes:

In spite of the intensity of manual labor in ADLs (activities of daily living), the patient reported minimal pain during work with symptoms easily managed with the directed self-care plan.  One month later, patient reported continuing well at work with no return or worsening of symptoms.

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Lumbar (Low Back) & Pelvic Pain

Male, 17

Diagnosis & Presentation:

Patient came into clinic with a chronic case of lumbopelvic pain with lower extremity numbness and tingling sensation. He was unable to participate in sports and had difficulty walking; including up & down stairs, as well as with squatting.  While the his MRI seemed unremarkable, the evaluative treatment found his balance was compromised, with complaints of weakness; numerous lumbopelvic (lower back & pelvis) dysfunctions and asymmetries.

 

Clinical Treatments:

Treatments involved active and passive joint mobilizations, soft-tissue releases, and home exercises to optimize balanced muscle activity and restore left-to-right symmetry within the lumbopelvic complex.

 

Outcomes:

After only 10 sessions, the patient reported resolution of all symptoms, including pain-free walking both up & down stairs.  Additionally, he was able to squat fully and symmetrically with heels on ground and resumed playing basketball at full intensity. 

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Chronic Knee Pain

Male, 66

Diagnosis & Presentation:

Patient arrived at clinic with a several years history of knee pain that was aggravated by a skiing injury.  His pain increased with walking down stairs, working around the house and sleeping on his side.  The evaluation focused on the patient's overpronation (pronation occurs as the foot rolls inwards and the arch of the foot flattens, 'flat feet') with walking, tight knee & thigh muscles (especially hamstrings and lateral quads with iliotibial band adhesions), poor squatting ability, poor balance and positive meniscus test.

 

Clinical Treatments:

Sessions included: knee mobilization, Graston Technique® soft-tissue release, a home and gym exercise program to restore muscle balance and the use of arch supports to control pronation and decrease torque on the meniscus.  Despite the chronic history and significant impairment to ADLs (activities of daily living), treatment resolved all patient complaints and clinical findings in 8 sessions of physical therapy. 

 

Outcomes:

Goals were met with notable functional improvement and significantly improved muscle strength.  The patient returned to all usual activities, including walking 2.5 miles of hills, doing carpentry work, as well as improved balance, better gait quality, and undisturbed sleep.

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EXPERT CARE WITH A HOME TOWN FEEL

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Serving the Yamhill County & surrounding areas with physical therapy & rehabilitation since 1996.