We’ve all been there before, rehab is going really well for your patient and every session builds off the previous, you’re happy and your patient is happy! You find yourself progressing every single movement and increasing the challenge because your rationale is the patient is getting better so why not push the limits? Next thing you know reality checks in and your patient has experienced a setback with increased pain, decreased load tolerance, and reports of stiffness with greater ranges of motion.“I think we overdid it doc…I guess my ankle isn’t ready still” What went wrong?! How are you even supposed to know that could happen? Was it the exercise, was it too much too soon, what did my patient do that they’re not telling me!? Let's take you through a systematic approach for lateral ankle sprain rehab.
Rotator cuff related shoulder pain (RCRSP) is the third most common condition seen clinically and likely to be the number one mispronounced diagnosis! RCRSP is a complex condition surrounding a complex joint. We have over 70 orthopedic clinical tests for the shoulder joint and spend countless hours learning them trying to identify exactly what is causing this pain. Are these tests able to give us that information? In short, no and we will explain why later. The term RCRSP was born as an umbrella term encompassing subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. As complex as the joint and condition is, we hope to help you find simple solutions! In this post we will take you through tips/assessments/progressions that you will find in the [P]Rehab exercise library. The goal is to ensure the patients you are working with have fully prepared their shoulder complex to take on the demands of their environment!
The bridge is probably the single most prescribed exercise by physios...it seems that the bridge exercise is ubiquitous with physical therapy and rehab. As you may be suspecting, we think this is a pretty bad thing! Yes - the bridge is in fact a decent exercise that can help groove a hip hinge movement pattern and can be the starting place for a host of pathologies ranging from the lumbar spine all the way to the foot and ankle. But that doesn't mean that our clients need to perform 3 sets of 10 bridges for months on end during the course of their rehab! Our exercise library has tons of exercises to help groove the horizontal hip hinge movement pattern, starting from the basic supine bridge all the way to a loaded barbell hip thrust. Follow along in this clinical pearl as we discuss bridge exercise progressions for rehabilitation!