Physical Therapy First Visit

Tom has focal anterior hip joint line pain. He reports that he has imaging that confirms there is no [hernia], but he later demonstrates and existing umbilical hernia. Both of his hips are in bad shape, but the right is worse than the left.

Otto has worked at a shipping and logistics company, lifting heavy packages, for years. It has worn his body out and now he is feeling the effects of spinal and peripheral joint pains.

Kim has returned for physical therapy after 3 years. Her recent MRI looks worse than a previous study that she had. It seems surgery is inevitable, so I will focus on conditioning her body because research supports improved outcomes for musculoskeletal related surgeries if the person gets in shape first.

Eric has intermittent neck pain. He demonstrates remarkable mobility, ROM, and strength. He is currently only interested in dry needling to manage his pain flare ups. Because of his right thoracic convex scoliosis, and our DNA that forces the Righting Reflex, he has developed a compensatory right cervical sidebend [or concavity] and a left lumbar sidebend [or concavity]. I believe this may be the...

I evaluated Gloria and found pain sourced from her neck and her shoulder. She has a history of noncompliance with regards to surgical consults and recommendations. I formulated a comprehensive POC based on my findings, however she never complied with her therapy visits.

Greg has mainly two sources of pain in his right upper extremity. There are elements of cervical radiculopathy and right epicondylitis pains. This episode of care resolved his epicondylitis pain.

Judy has had a lot of care targeted to her low back but she keeps notifying her providers that her pain is in her hips. She reports that no one has evaluated the pain in her hips. She has a hard time standing and walking, but with some care during the evaluation, we made a significant dent in her symptoms.

Lisa is a massage therapist that has had 2 orthopedic consults. She states one wants to replace her joint and one wants to focus on the muscles. As part of my differential diagnosis, I performed some treatment during the evaluation to figure out if this is more muscular vs more joint related.

Franklin is an older gentleman with a very sedentary lifestyle that spends an extensive time in long sitting positions such as in a recliner with his feet up. He has developed a rounded thoracic spine which I like to call a turtle shell. He will have to make some lifestyle changes to get his pain under control.

Maria works from home and she has a multiple monitor set up. She recently started having symptoms of vertigo and so she started adjusting her ergonomics and taking breaks more often. Treating her positional vertigo helped with some of her symptoms, and treating her cervicogenic and facial muscle symptoms helped with her brain fog and heaviness sensation.

Misty has had several falls and now she has knee pain. The pain has affected the quality of her gait and she also has left hip flexor dysfunction which is implicated in the scenario.

Rayna enjoys reading with her tablet in her lap...she also enjoys sitting off center, in her recliner, when watching TV. Both of these activities seem to have led her to strain the left side of her neck and periscapular soft tissue.

Andrea comes to me for physical therapy for her knee pain after she experienced a fall. The knee itself seems fine, but she seems to have injured the soft tissues around her knee.

I treated Nadine for a finger contracture 2 years ago after a distal phalanx amputation due to melanoma under her finger nail. She has now returned and unfortunately her cancer has spread. What would be appropriate for her low back pain?

Diane is a returning patient for low back pain however she has recently developed a new symptom which is tremors when she is standing or walking. This is her biggest complaint. It seems that it was medication related.

Gloria has greater trochanter bursitis pain and pain at the ischial tuberosity. I don't know which came first, but she has developed some horrible compensatory biomechanics. I have to get her back on track.

Gayle has a history of chronic kidney disease (CKD) and she has been complaining of dizziness which improved after she restarted her sodium intake. She does have signs and symptoms of remnants of a peripheral vestibular disorder and possible CNS involvement.

Dan is a low voltage technician with lots of overlapping symptoms of cervical radiculopathy and peripheral nerve compression. We have to set up a complex plan of care to steadily address his symptoms.

Adaira is a young female coming with symptoms of dizziness. My exam however steers me away from BPPV and I find that her symptoms are more likely related to something cardiopulmonary or her depression/anxiety.

Renee has a previous and old ACF. She works from home. She seems to be having a combination of stress and strain/overuse injury from use of her mouse and also cervical radiculopathy. I'm right handed and I use my mouse on the left side to reduce overuse of my right hand. In Windows settings for mouse, you can switch the primary and secondary buttons for your mouse to make it easier to use on t...

Kandy has an ACF in place and there is an order for mechanical cervical traction. It seems that her pain is due to postural strain at home.

Danny presents with a diagnosis of lumbar spondylosis but it seems that most of his pain symptoms are related to hip flexor dysfunction and less from his lumbar spine.

Nancy comes to us for a first-time treatment of her BPPV. I was able to manage her symptoms well on the first visit and we set up a low-visit frequency plan of care to get her back on track.

Ken comes to us with a complex medical history involving his low back. He provocated pain while moving furniture and then falling. Based on his report, it seems that his pain is coming from 3 sources, which we will address.

Dave was rear ended and reports having neck and left shoulder pains. The assessment reveals he has dysfunctions of his spine as well as his shoulder.