Kyle Feldman

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Viewing 15 posts - 1 through 15 (of 138 total)
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  • in reply to: March – TMJ #9755
    Kyle Feldman
    Moderator

    Have you heard of the bite test?

    another way to quickly look at myofascial vs joint!

    in reply to: March – TMJ #9753
    Kyle Feldman
    Moderator

    Great points Laura on headaches.

    We cannot treat all of the headaches but we need to know what it is and where to refer. That is where the subjective exam comes into play.
    For the ones we can treat, we need to have a good objective exam to find impairments.

    What test can we do to help determine disc vs myofascial jaw pain? There is a special test that can help us think one ve the other

    in reply to: March – TMJ #9747
    Kyle Feldman
    Moderator

    Great differentials.

    How about the yellow flags. How would you assess and monitor this aspect to her care?

    Reading the article, you can see how much depression and anxiety plays into TMJ and headache cases.

    in reply to: February – Wrist/Hand #9746
    Kyle Feldman
    Moderator

    Great ideas!

    It ended up being TFCC.
    He had an MRI due to another injury 2 weeks later.
    He had a local injection along with PT and was able to play in his last match of the season.

    Please look and respond to the March post next

    in reply to: February – Wrist/Hand #9735
    Kyle Feldman
    Moderator

    Great
    you have some different differentials

    Next questions:

    Can you highlight key clinical examination components that would help the best with narrowing down your differential diagnosis?

    No imaging has been performed as of yet, so what would be important points to help decide whether to refer for an orthopedic exam and imaging?

    in reply to: FINAL TOPIC August – Concussion #9623
    Kyle Feldman
    Moderator

    Sorry,
    that was me, just signed in under my therapist!!

    Great plans

    Lets say this is a concussion with some WAD symptoms

    How would you treat based on the research?

    in reply to: FINAL TOPIC August – Concussion #9617
    Kyle Feldman
    Moderator

    Great ideas.

    Day 1- a lot of the tests were positive due to high irritably and severity.

    With positive cervical/thoracic as well as the vision/headaches/dizziness.

    When it is so severe, what would you do first?

    in reply to: July- Red Flag #9613
    Kyle Feldman
    Moderator

    So this lady was sent to the local ER and they sent her home with a cath.

    I didnt like that so I sent her to a northern virginia ER. Images taken and they found that her cancer had metastasized to her sacrum.

    She ended up going to Hopkins and having surgery.

    This was a crazy case and luckily as a PT we kept pushing to find answers and not being satisfied that we did our job and moved on.

    Keep critically reasoning and caring about your patients.

    in reply to: July- Red Flag #9607
    Kyle Feldman
    Moderator

    Agreed!

    Neuro was positive for reflexes, sensation in the groin region and hoffmans was positive

    in reply to: June – Pediatrics #9606
    Kyle Feldman
    Moderator

    Agreed everyone!

    I think you have great experience as a past athlete and PT patient. Back in the day patient rappor wasn’t as important and you saw it personally. We do better jobs and hopefully that opens the door for communication

    Let’s always try to put ourselves in our patients shoes so we can help ourselves grow

    in reply to: June – Pediatrics #9605
    Kyle Feldman
    Moderator

    Agreed everyone!

    I think you have great experience as a past athlete and PT patient. Back in the day patient rappor wasn’t as important and you saw it personally. We do better jobs and hopefully that opens the door for communication

    Let’s always try to put ourselves in our patients shoes so we can help ourselves grow

    in reply to: June – Pediatrics #9604
    Kyle Feldman
    Moderator

    Agreed!

    24 is a whole other ballgame

    We want to open discussion and explain how this conversation can help the rehab process and outcomes.
    We also need to provide stronger resource options for them!

    in reply to: June – Pediatrics #9603
    Kyle Feldman
    Moderator

    Agreed!

    24 is a whole other ballgame

    We want to open discussion and explain how this conversation can help the rehab process and outcomes.
    We also need to provide stronger resource options for them!

    in reply to: June – Pediatrics #9602
    Kyle Feldman
    Moderator

    Agreed!

    24 is a whole other ballgame

    We want to open discussion and explain how this conversation can help the rehab process and outcomes.
    We also need to provide stronger resource options for them!

    in reply to: June – Pediatrics #9601
    Kyle Feldman
    Moderator

    Agreed!

    24 is a whole other ballgame

    We want to open discussion and explain how this conversation can help the rehab process and outcomes.
    We also need to provide stronger resource options for them!

Viewing 15 posts - 1 through 15 (of 138 total)