Sensation Testing - Peripheral Nerve Lesion

When suspecting a central nervous system lesion it is important to assess different facets of sensory integration. For example, light touch, two-point discrimination, temperature discrimination, sharp/blunt, kinaesthesia, proprioception, and stereognosis. When suspecting a peripheral nerve lesion however, it is more important to understand the difference between dermatomal and cutaneous nerve distributions. The purpose of this blog is to review aspects of sensory testing for a peripheral nerve lesion and differentiation from central nervous system lesions.

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The Tetris effect

This case presentation describes two areas of treating elbows that look beyond traditionally used exercises and manual therapy. The first is the freedom of combined active movements and the second is what I call the Tetris effect. Both of these components were pivotal in this patient's recovery from acute lateral epicondylalgia.

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Outside the Orthopaedic Protocol

This week we welcome Physical Therapist, Michael McGowan (DPT) to share with Rayner and Smale a unique case study about a complex combination of orthopaedics and oncology. Michael shares his experience managing a patient who following diagnosis of an osteosarcoma, was managed with a 3-part total knee replacement, fibular ORIF and radical resection of the distal femur. A complex orthopaedic procedure indeed, but the most challenging aspect to manage was cancer-related fatigue

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Taking the Sore Thumbs Out of Manual Therapy

This past weekend I took the myofascial decompression level 1 course and proudly now own my own kits of cups. I really enjoyed the didactic component of this course and this blog shares some interesting concepts that you will learn about if you too choose to take a course through www.myofascialdecompression.com

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