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Tough to Treat


Oct 13, 2022

In this episode, Susan and Erica discuss how very old drivers can present in a novel situation, as well as why new drivers will appear if compensatory patterns are allowed to become dominant. Susan’s patient in this episode came to her with shoulder pain which quickly led to full-on arm pain. Susan discusses how she used clinical reasoning and the patient’s history to find the driver. The driver here is not obvious and did require some deep investigation.

Shoulder problems can be the focus of the problem with the area having faulty movement patterns associated with the pain. This is especially prominent in acute pain. Follow Erica and Susan on this case with selective tissue testing to tease out the root level of nerve pain and shoulder movement dysfunction. See how this patient gained her mobility back in her shoulder and neck.

A glance at this episode:

  • [2:14] Susan’s patient gets shoulder pain after pressure washing her house
  • [4:21] Susan has her patient move around to get a better diagnosis
  • [5:36] After reviewing her movements, Susan starts to question if this is even a shoulder issue
  • [8:04] Susan starts to take the next step with her patient
  • [11:52] Susan decides where she needs to focus to take pressure off the shoulder
  • [13:37] The driver is finally discovered
  • [14:12] Erica talks about clinical reasoning in this case
  • [16:30] Techniques used to help the cervical spine
  • [17:17] How Susan incorporated taping with this patient
  • [21:00] Susan discusses sensory input 
  • [22:20] Additional tips to help Susan’s patient
  • [25:35] How Susan’s patient does in the next few days after treatment
  • [27:00] Exercises Susan sends her patient home with
  • [28:36] One week later her patient is doing much better
  • [30:57] Erica clarifies if the patient was in supine or sitting when starting the exercises
  • [31:50] Susan goes in depth with the exercises she used to help her patient
  • [33:32] Erica asks if the patient’s movement ever came back
  • [35:44] Other areas that Susan looked at in the patient
  • [37:11] Erica’s clinical reasoning on the case

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