Specialized Physical Therapy

03/27/2024

Sweet patients often give me a boost in the middle of my long days, and yesterday was a 12.

So, I had just finished the history taking part of an evaluation with a 76year old lady who I haven’t seen in around 5 years. She had moved from a chair to the table and I was going to start the physical examination when she says “I’m sorry, can I stop you for a minute? (Sure, what is it) “how are your wife and daughter, Is everything good, and how old is your daughter now?”
So I spent a minute or two telling her what was going on in our family, answered a few more questions, showed a few pictures from our latest adventure, and then back to work.
So sweet,
and she’ll get back to her fitness walking and gardening before long, so it’s a win-win.

03/26/2021

We are hiring a part-time administrative assistant/receptionist. Please send resumes to Ken@ChattPT.com

02/23/2021

They call high-blood pressure the silent killer, but what I really worry more about is a stroke. Therefore I have been on medication for my Isolated Systolic Hypertension for a few years now after keeping it barely under control with exercise, nutrition, and supplements. I don’t like medication, but I like to feed myself and wipe myself, which are two things I have done for patients post-stroke.
If you have high blood pressure and it is not controlled with medication, I suggest you speak with your physician and take their advice before it’s too late.

I do not have sufficient knowledge to agree or disagree with this sign at my physicians office, or to give any specific treatment, but doing something is better than doing nothing!!

12/13/2020

We agree with this,
If you would like to find out if we can help you it will take 2-3 visits over 2 weeks.

11/30/2020

This is a great post from a physical therapist in Nashville.
The only little modification I would make is that not every patient needs manual therapy.

“Ive tried PT and it didn’t work.”
“They had 3-4 other patients running around and we did some ice and some estim but I didn’t really feel better.”
I love my job so much and we have helped some incredible people but some PTs are terrible at what they do.
3 sets of 10 with a band, table exercise, ice and e stim will not get you to where you want to go.
IF YOU ARE NOT GETTING ANY WHERE WITH YOUR PT PLEASE FIRE THEM AND FIND A NEW ONE.
There are so many great PTs out there who are breaking the status quo and who are appropriately teaching patients to move better and get stronger.
Make sure that your PT is helping you lift, run, bike, etc and teaching you how to do those things not avoiding them.
Therabands are great but if you want to deadlift you need to lift weights not just play with bands.
Instead of the list above you need
1️⃣Someone modifying your activity for you not removing it completely
2️⃣A little bit of manual therapy but not an entire session of it ( cupping, dry needling, soft tissue work, joint manipulation etc)
3️⃣Heavy dose of teaching you to move better( fixing your squat pattern, overhead lifts etc.)
4️⃣Heavy dose of corrective exercise to get you stronger ( mobility work, strength work, stability work)
5️⃣Work on prevention so this doesn’t come back in the future.
——
👋Tag someone who would appreciate this
👍Like and save if you found helpful
👇Post questions or comments below
————————————————







#615

10/01/2020

Very true

Discipline will help you reach your short-term and end goals.

08/14/2020

So true, rarely do we address shoulder blade pain that is a shoulder blade problem!

Differential orthopedic diagnoses include a strain/pull/tear to any of the muscles in the area (there are many) and a shoulder joint derangement. It’s rare that you injure one of those muscles - and shoulder joint derangements only infrequently refer pain posteriorly to the shoulder blade. Can a frozen shoulder refer pain back there as well? Sure. But that’s not usually going to be the chief complaint of someone with a frozen shoulder.

The joints in the cervical spine and the thoracic spine can refer symptoms to many areas, and the shoulder blade is a big player. With altered electricity coming from irritated spinal nerves, it’s not uncommon to find spasms or trigger points in the shoulder blade muscles. Those findings are the symptoms, not the culprit. Local weakness can also be a finding due to spinal nerve irritation. I find that in nearly every case I’ve seen in which the person complains of shoulder blade pain (or ache or tightness), we can fix it with repeated or sustained movements of the spine - in the sagittal, frontal, or transverse plane.

08/12/2020

08/11/2020

This is why many people with sciatica exhibit profound glute weakness that improves rapidly with appropriate treatment. I’m surprised when there is extremity pain and I Don’t find weakness.

If you or a loved one are experiencing buttock or leg pain, call is now for evaluation so that we can teach you how to resolve this and prevent recurrence!

A muscle can only achieve optimal strength & efficiency if it’s getting an undisturbed supply of electricity. I hear loads and loads of people talk and talk about problematic weak glutes. I usually don’t find weakness. Instead, I find that it’s almost always inhibition - a fuse box (spine) problem. Most low back problems are at the levels L4, L5, S1. Is it any surprise then that the nerves to the glutes may be compromised? There does not have to be back pain for a nerve irritation to be present.

If we prove that your nerves are indeed working well (which we do by clinically moving your low back, and sometimes hip, repeatedly - not by looking at an image), and your glutes are still problematically weak, then we can begin all those glute exercises such as squats, lunges, donkey kicks, clamshells, crab walks, sidelying leg lifts, lateral step downs, bridges, and so on. If a professional wants to diagnose “weakness,” then he/she better have first at least ruled out inhibition. Not only does that save months of work, but it gets at the real diagnosis.