POPULARITY
14 episodes with Palpation
4 episodes with Palpation
5 episodes with Palpation
4 episodes with Palpation
3 episodes with Palpation
2 episodes with Palpation
9 episodes with Palpation
2 episodes with Palpation
2 episodes with Palpation
Send us a textIn this episode, Jonathan Chang and Jason Robertson each discuss a recent case of temporal (Shaoyang) headache from their clinics. Despite the similar location of the headaches, channel selection varied as the underlying patterns were actually quite different. Palpation of distal channels and local areas on the head are discussed. Music by The Strayun: Clancy of the Overflow. If you're interested in listening to the entire song, please visit: thestrayun.bandcamp.com/track/clancy-of-the-overflow
TakeawaysMetatarsal stress fractures are common injuries in athletes.Understanding the remodeling process of bones is crucial for recovery.Subjective questioning can reveal important clues about the injury.Palpation techniques are essential for accurate diagnosis.Systemic factors like energy availability can influence bone health.Imaging, particularly MRI, is vital for diagnosing bone stress injuries.Treatment should focus on offloading the affected area.Recovery time varies significantly between individuals and injuries.Communication with patients about their condition is key to effective treatment.Injury prevention strategies should include monitoring training loads. ** You should always see a medical professional for diagnoses and assessment. This is not medical advice and is for educational purposes only.SummaryIn this episode of the Sports Medicine Project, hosts Blake and Kelly delve into the complexities of diagnosing metatarsal stress fractures and bone stress injuries. They discuss the importance of understanding the clinical assessment process, including subjective questioning, palpation techniques, and the role of imaging in diagnosis. The conversation emphasizes the significance of systemic factors and adequate recovery in preventing these injuries, as well as the need for effective treatment strategies. The hosts share insights from their clinical experiences, making the discussion both informative and engaging for listeners interested in sports medicine and injury management.Chapters00:00 Introduction and Overview of Metatarsal Injuries03:01 Understanding Bone Stress Injuries05:46 Diagnosis and Clinical Assessment09:04 The Role of Training Load and Recovery12:06 Systemic Factors Influencing Bone Health14:49 Imaging and Diagnostics for Metatarsal Injuries18:01 Palpation Techniques and Patient History20:53 Conclusion and Key Takeaways25:35 Palpation Techniques for Metatarsal Assessment32:06 Clinical Decision-Making in Bone Stress Injuries37:54 Differentiating Between Tendon and Bone Injuries48:02 Imaging and Diagnosis of Bone Stress InjuriesKeywordsmetatarsal stress fracture, bone stress injury, diagnosis, clinical assessment, imaging, treatment, sports medicine, recovery, palpation techniques, systemic factors
If you're curious as to whether you have any stored emotions or trauma that might be causing your illness, preventing you from achieving your dreams or even just showing up as the best, authentic version of yourself, I invite you to take my free Stored Emotions and Trauma Quiz.In this episode, you'll learn how Traditional Chinese Medicine and facial diagnosis can reveal stored trauma and emotional imbalances, how different areas of your face correspond to specific organs and emotions, how liver function connects to anger, and how addressing emotional health can improve physical well-being.Timestamps:[00:00] Introduction[00:30] How traditional Chinese medicine identifies stored trauma[01:15] Facial diagnosis and what it reveals about health[02:05] How emotions are connected to physical symptoms[03:00] The liver and its connection to anger[04:10] Facial signs of liver imbalance and stored anger[05:25] How functional medicine detects liver dysfunction[06:45] Why liver function tests may appear normal despite issues[07:30] The role of gut health in hormone balance[08:20] The connection between stress, trauma, and biochemical imbalances[09:10] Common liver-related symptoms beyond facial signs[10:05] The heart and its link to joy and lack of joy[11:00] Facial signs indicating heart-related emotional imbalances[12:15] The ear crease and its correlation with cardiovascular issues[13:10] Why the heart is often overlooked in emotional diagnosis[14:05] The spleen and its connection to worry and anxiety[15:00] Facial and body signs of spleen imbalance[16:05] How worry and stress affect digestion[17:15] Palpation points to check for spleen imbalances[18:05] The kidneys and their association with guilt and shame[19:10] How kidney function is affected by trauma[20:00] Facial signs of kidney-related emotional imbalances[21:05] The link between kidney function and stress-related illnesses[22:15] Why kidney function dropped post-COVID and how it recovered[23:00] How guilt and shame manifest in physical health[24:10] The lungs and their connection to grief and sadness[25:00] Facial signs of lung-related emotional imbalances[26:10] How grief can affect the immune and respiratory system[27:00] Observations of lung imbalances post-pandemic[28:05] The pancreas and how it relates to rejection[29:00] Nose signs that indicate pancreatic imbalances[30:00] Digestive organs and how they appear on the face[31:10] Why gut health is crucial for emotional and physical balance[32:00] How constipation and diarrhea relate to emotional trauma[33:15] The role of nervous system regulation in digestion[34:05] How emotional stress affects children's gut health[35:10] Reproductive health and how it shows on the face[36:00] How past trauma can be detected through facial signsFind More From Dr. Stephanie Davis:Thrive Mama Tribe | WebsiteThrive Mama Tribe | InstagramThrive Mama Tribe | Skool
Thinking Fingers: Wie würde die Welt aussehen, wenn Menschen ihren Daumen nicht opponieren könnten. Du könntest diesen Text nicht auf Deinem Smartphone finden. Es gäbe wahrscheinlich gar keins. Anyway, Klaas und Dennis sind mal wieder durch die Weltgeschichte gepilgert und haben eine Menge erlebt. Paar Fälle, paar Skurrilitäten und ein paar Ankündigungen später, geht es in dieser mal wieder um die rechte Hand des osteopathischen Gehirns: Die Hand. Ohne sie, keine Osteopathie. Das reimt sich und wenn sich etwas reimt, stimmt es auch. Ergo: Das Handwerk Osteopathie würde ohne eine suchende, fühlende und wissende Hand nicht funktionieren, sie kann aber auch in die Irre leiten und böse Probleme bereiten. Die Knochenjob-Boys werfen einen Blick drauf. Hand drauf!
Carolyn McMakin, MA, DC - frequencyspecific.com Kim Pittis, LCSP, (PHYS), MT - fsmsports365.com 00:14 Patient Case: Rare Condition from Hawaii 01:15 Explaining Medical Terminology 03:35 Detailed Patient History and Treatment 06:59 Videotaping the Treatment Process 10:59 Vestibular Injury and Demonstration 13:45 Visceral Scarring and Treatment Techniques 22:01 Crohn's Disease and Autoimmune Discussion 25:21 Parasites and Crohn's Disease Connection 27:36 Atrial Fibrillation and Vagus Nerve Treatment 30:22 The Vagus Nerve and Its Impact 31:20 Patient Case Study: Neck and Vagus Nerve 32:35 Custom Care and Scar Tissue 34:00 Acetylcholine and Supplements 36:16 Visceral Treatment Techniques 45:24 Parasites and Treatment Options 50:17 Atrial Fibrillation and Scar Tissue 53:10 Insulin Pumps and FSM Welcome to our deep dive into a unique and complex case study, which was discussed in a recent podcast episode featuring a detailed examination of sclerosing mesenteritis and the role of the vagus nerve in treatment. This post will provide key insights that medical practitioners can apply to their own practice, focusing on understanding the intricate relationships between conditions and how Frequency Specific Microcurrent (FSM) might be leveraged in treatment protocols. Understanding Sclerosing Mesenteritis A patient case was presented involving a condition known as sclerosing mesenteritis. This rare inflammatory disease affects the mesentery, the connective tissue that supports the intestines. In this case, the patient, with a history of Crohn's disease, also developed complications such as atrial fibrillation and dysphonia after receiving a COVID-19 vaccine and subsequently contracting COVID-19 multiple times. Medical Interpretation for Sclerosing Mesenteritis When dealing with the mesentery, it is crucial to understand that it is part of the peritoneal sac encompassing the abdomen's organs. The condition described as "sclerosing" refers to the scarring within this connective tissue. For effective management of this scar tissue, practitioners can focus on identifying affected areas using gentle palpation techniques and specific vocabulary translation for laypeople. The Vagus Nerve and Its Role in Treatment Dr. Carol, in the podcast, highlighted treating a spectrum of symptoms by focusing on the vagus nerve. This nerve influences many systems, including the heart's electrical conductivity, digestive health, and even the body's response to inflammation. In patients with autoimmune conditions, like Crohn's disease, enhancing vagal tone may reduce unnecessary immune responses and inflammation. Practical FSM Applications Medical practitioners should note the efficacy of FSM in managing scar tissue and enhancing autonomic regulation through the vagus. In this case study, strategies included: - Running concussion and vagal tone frequencies to relax tense connective tissues and potentially diminish dysphonia. - Addressing the multifaceted aspects of scar formation by working with frequencies that target sclerosis and inflammation in different tissue types. - Suggesting Huperzine-A supplementation to support neurotransmitter activity affected by vagus dysfunction. Techniques in Palpation and Videography A significant practical learning point from the episode is the technique for hands-on treatment of abdominal adhesions. Practitioners were urged to use flat fingers, apply enough pressure to feel under the layers of scarring, and push gently only when the tissue softens. Documenting these techniques through videography can serve as an educational tool for both practitioners and students. Addressing Parasites and Autoimmune Consequences In cases where autoimmune diseases like Crohn's are suspected to be linked to parasitic infections, practitioners may find it beneficial to employ anti-parasitic drug protocols alongside FSM treatments to address the root causes of inflammation. Key Takeaways for Practitioners: 1. Pay attention to comprehensive treatment plans that involve both conventional and complementary approaches like FSM. 2. Understand the anatomy involved and leverage FSM to target specific tissues effectively. 3. Consider adjunct supplements and medication for holistic treatment, especially in autoimmune conditions. 4. Continually educate and update techniques through resources such as videography and peer consultation. As shown in this podcast, exploring the intricacies of conditions like sclerosing mesenteritis through the lens of vagus nerve treatment opens new avenues for holistic patient care. Such insights not only enrich practitioner knowledge but also enhance the effectiveness of patient outcomes.
In today's episode, we discuss the purpose, intention, and methods for motion palpation. We will discuss the exact procedure for determining the location of subluxation using the unique art of motion palpation.
Hosts: Carolyn McMakin, MA, DC Kim Pittis, LCSP, (PHYS), MT 00:33 Diving into Health Courses and Concepts 01:14 Exploring Frequency Specific Microcurrent (FSM) 01:58 Case Studies and Practical Applications 07:28 Mastering Palpation Techniques 17:24 Constitutional Factors in Patient Assessment 25:07 Addressing Post Shingles Neuropathy with FSM 28:39 Managing Postherpetic Neuralgia 29:44 Understanding Lupus and the Vagus Nerve 32:57 Hiatal Hernia and Stomach Acid Issues 37:41 FSM Symposium Excitement 39:29 Addressing Osteoporosis and Tendon Health 41:44 Challenges with Nerve Ablation 46:03 Neuromyelitis Optica and Arthritis Insights 50:08 Symposium Logistics and Final Thoughts In the world of medical innovations, Frequency Specific Microcurrent (FSM) stands out as a technique with profound implications for patient care. This recent podcast episode, hosted by Dr. Carol and Kim Pittis, delves deep into the practical applications and theories surrounding FSM, making it a valuable resource for medical practitioners aiming to integrate this technology into their practice. Understanding the Health Pyramid with FSM The podcast opens with Kim Pittis sharing insights from a recent course she attended, where the concept of a health pyramid was introduced. She highlights the importance of screenings, assessment, mobilization, movement, and stabilization, crucial parts of patient care in both biomechanics and the biotensegrity model. FSM, however, appears to transcend traditional modalities by offering versatile treatment options that aren't confined to specific conditions. Exploring FSM Frequencies One of the key takeaways from Dr. Carol and Kim's discussion is their exploration of FSM frequencies, specifically the use of 124 – a frequency often used for healing scar tissue. Dr. Carol notes that while dissolving scar tissue, practitioners must ensure that stabilizers are ready to replace it for effective healing, emphasizing cautious application. Palpation Techniques and Patient Assessment The podcast segment on mastering palpation techniques is particularly insightful for practitioners. Dr. Carol shares her unique approach to palpation, which involves 'seeing' with your fingers, a skill likened to a masterclass in perception. This technique allows practitioners to accurately assess and address scarring and other tissue abnormalities in patients, enhancing diagnostic precision. Addressing Complex Conditions The hosts also navigate through complex conditions such as post-shingles neuropathy and lupus, offering invaluable insights into using FSM for managing these challenges. Dr. Carol explains her protocols for addressing nerve damage post-shingles, which often involves treating the damaged nerve to restore function and alleviate pain. For lupus, they emphasize the role of the vagus nerve and the importance of identifying triggers and stressors that exacerbate the condition. The Role of FSM in Osteoporosis and Tendon Health For practitioners dealing with osteoporosis, Kim highlights the importance of mechanical force and tensile pull on bones to strengthen them. She advocates for the use of FSM to aid in muscle recovery post-exercise, promoting sustained physical activity as a preventive measure against bone density loss. Advances in Medical Practice with FSM The podcast wraps up with an enthusiastic preview of the upcoming FSM Symposium, suggesting further learning opportunities for practitioners eager to expand their knowledge and application of FSM in their daily practice. The event promises to feature an array of fascinating case studies and scientific explorations into the mechanisms of different frequencies. For medical practitioners, this podcast episode provides a detailed and practical perspective on the application of Frequency Specific Microcurrent. By integrating the lessons shared by Dr. Carol and Kim Pittis, practitioners can enhance their diagnostic abilities, expand their treatment arsenal, and ultimately, improve patient outcomes. Whether dealing with scar tissue, chronic conditions, or improving overall patient care, FSM presents an innovative approach to modern medicine.
Raquel graduated from BVSc Melbourne University in 2004. She worked in mixed practice in Australia and overseas for 8 years, before branching into her own mobile based practice. Since 2012 Raquel has worked in the Equine Industry treating horses and dogs with Muscle Release Therapy and completing a Graduate Diploma in Animal Biomechanical Medicine, encompassing chiropractic and osteopathic techniques as well as Rehabilitation in 2016. Raquel has studied many therapies including the Masterson Method, Equine EcoSomatics (Craniosacral), Vetkin Taping, Saddle fitting and Laser (Photobiomodulation) therapy. In 2015 she began teaching clinics in Equine Anatomy and Palpation, Equine Biomechanics, Equine Veterinary Biomechanical Assessment and Equine Vetkin taping, to practitioners and horse people Nationally and Internationally. Raquel has a special interest in Anatomy and Biomechanics of the horse investigating this through Equine dissections. In 2018 Raquel became the president of the Animal Biomechanical Professionals of Australia. Raquel is very passionate about Equine injury rehabilitation and for rehabilitation to become an integral aspect of the Veterinary profession
Matt Heyliger guides me through rehab for a minor A2 pulley injury. We talk about how the injury happened, what I should have done to nip it in the bud, the remodeling phase, when to do density hangs, when it's ok to push it, thoughts on taping, pain threshold testing, acupressure rings, how to climb around a pulley injury, and more. Stay tuned for part 2 next week. Become a Patron to get access to the full episode! And support the podcast! *The full version is 1:17:15.*Watch the uncut video interview here!patreon.com/thenuggetclimbingMartin's Original Episode:EP 143: Matt HeyligerWork With Matt:www.sendagain.coNuggets:(00:00:00) – Banter with Matt(00:03:47) – Overview of my finger injury(00:06:42) – What I should have done(00:17:44) – Remodeling & density hangs(00:23:12) – The injury timeline(00:25:00) – When to push it & thoughts on taping(00:27:40) – Recap of our first PT session (not recorded)(00:29:49) – Maintaining strength & avoiding barbells(00:33:56) – 4x loading per day (6 reps of 10 seconds on, 20 seconds off)(00:37:37) – BFR(00:40:02) – Finger pain threshold testing(00:46:27) – How I felt after finger testing(00:47:40) – Planning out my climbing(00:53:00) – Palpation & massage(00:57:04) – Acupressure rings(00:58:30) – The next phase of loading(01:05:52) – Too many moves in a session(01:07:34) – How to climb around a minor pulley injury(01:09:41) – Tetris(01:11:00) – Testing with tape(01:12:11) – Plans for the coming week
Forward - The Podcast of the Forward Thinking Chiropractic Alliance
Mark A. King, DC is a 1982 honors graduate and student athlete of Florida Southern College and a 1986 cum laude graduate of Life Chiropractic College in Marietta Georgia. Dr. King opened the Mt. Lookout Chiropractic and Sports Injury Center with his wife, Dr. Donna Moloney, in February, 1987. Together, they run a large, eleven-doctor multi-disciplinary clinic in Cincinnati, Ohio.Dr. King is on the post-graduate faculty of National University Health Sciences. Dr. King became the third President of the Motion Palpation Institute in 2001 and continues in that capacity. He has been an instructor for the Motion Palpation Institute since 1994 and has taught all over the world. He has co-authored a case presentation for JMPT on cervical spine instability following a traumatic automobile accident. He has written over 25 articles for Dynamic Chiropractic.Dr. King is past president of the Southwestern Ohio Chiropractic Association and Chiropractic Choice, and he is a member of the ACA and the Ohio State Chiropractic Association.Dr. King is involved in the development and teaching of all the MPI classes Permalink
Unreal Results for Physical Therapists and Athletic Trainers
This week on the Unreal Results podcast, I talk about one of my favorite topics - the Gillet SI joint test. Gillet's test or sometimes known as the March test or Stork test, is typically known for having poor reliability based on previous research. If you've been following along for some time, you probably know that said research likes to get thrown around by the EBP police when I make posts on social media. But the often overlooked part of these research studies is that they have lots of flaws and limitations. Make sure you tune into this episode as I break down why the studies on the Gillet test aren't the best and why I think the SI joint is innately difficult to assess with only one test.Resources Mentioned In This EpisodeEpisode 6: The Mysterious, Misunderstood, and Mistreated SI JointEpisode 10: EBP PoliceEpisode 54: A Better Way To Assess The SI JointGet on the Online LTAP™ Level 1 Waitlist HEREResearch Studies Mentioned- Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint- Inter- and Intra-Examiner Reliability of Palpation for Sacroiliac Joint Dysfunction- Inter-Examiner and Intra-Examiner Agreement for Assessing Sacroiliac Anatomical Landmarks Using Palpation and Observation: Pilot Study- Inter-Examiner and Intra-Examiner Reliability of the Standing Flexion Test- Reliability of Motion Palpation Procedures to Detect Sacroiliac Joint Fixations- Intraexaminer and Interexaminer Reliability of the Gillet TestUpcoming In-Person LTAP™ CoursesLTAP Level 1 in Boston, October 2024Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube
❤️ Bonjour,Bienvenue dans la 2ème partie de cette saga de l'été consacrée à la sémiologie cardiaque, autrement dit, l'art de savoir interroger et examiner un patient en cardiologie
The gang is back this week with a review of the SERIES FINALE of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a review of episode 14 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a review of episode 12 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a review of episode 12 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Anamnese, Inspektion, Palpation und anschließend die Auskutation innerhalb von nur 5 Minuten! So schaut die Schauspiel Untersuchung im OSCE aus. Hier wird unser allgemeinmedizinisches Wissen am Patienten geprüft und wir glänzen zur Abwechslung mal mit Stethoskop. Musik von John Sib Post-Production von René Piekarski
The gang is back this week with deep double feature review of episodes 10 & 11! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a review of episode 9 an old foe(friend?) makes a return! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a review of episode 8 and their take on the new The Acolyte trailer! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back this week with a double episode recap! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back to recap episode 4! Will Crosshair and Hunter kiss and make up? Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
The gang is back to recap episode 4! It's the Omega and Crosshair show! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Dr. Paul Killoren // #ClinicalTuesday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Dry Needling division leader Paul Killoren discusses the safety, efficacy, and utilization of palpation when incorporating dry needling treatment into your practice. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog If you're looking to learn more about our live dry needling courses, check out our dry needling certification which consists of Upper Body Dry Needling, Lower Body Dry Needling, and Advanced Dry Needling. EPISODE TRANSCRIPTION PAUL KILLORENGood morning, crew. We've got YouTube, we've got Instagram. My name is Paul. I'm representing the dry needling division for ICE. My name is Paul and I would like to talk about palpation this morning. Pretty dry topic you might think, but depending on if you're trained in dry needling and how you're trained in dry needling, palpation may have been one of the key aspects to your course, your training, and then fill in the blank from there. I mean, our accuracy, our safety, and even our effectiveness for dry needling relies at least somewhat, high percentage, low percentage, on palpation. So we're talking palpation this morning, not even actual needles in, but this is heavily a dry needling topic on our clinical Tuesday. IS PALPATION-BASED DRY NEEDLING SAFE? First of all, to get it out of the way, there is actually quite a bit of research saying, is palpation-based dry needling enough? Enough being, is it safe? Is it consistently effective? And the answer is yes, most of the time. Meaning there's solid data that says if we're palpating rotator cuff muscles, so a 2023 publication last year said, if we're palpating infraspinatus, even teres and supraspinatus, compared to ultrasound, we're reliable. Maybe that's because it's accessible, we have a big spine of the scapula to rely on, but unfortunately we have data, a publication from 2021 that says if we're palpating ribs, especially posterior ribs, so deep to rhomboid and trap and all of that, unfortunately we're not very reliable. So first of all, to say, um, not the topic exclusively for this morning is can we rely exclusively on palpation for dry needling safety? The answer is yes. Most of the time. Um, I mean, one stance we do with ice, even on our advanced courses that we do not do rib blocking techniques, uh, meaning we don't palpate and rely on the rib as a bony backdrop for for like thoracic extensors, rhomboid, all of those muscles. So we can rely on it most of the time. There are certain regions where it's less, research says it's less consistent, less safe. And that's pretty obvious stuff. Can we palpate everywhere else in the body? Spinous processes for the spine, trochanter sacrum for the glutes. Can we palpate muscles for quads and all that? The answer is yes. HOW IMPORTANT IS PALPATION FOR DRY NEEDLING? So really the topic of this morning is how important is palpation for dry needling? And I'm gonna break this, the rest of the discussion into two topics. The first one is how important is dry needling as a diagnostic criteria? And the second one is how important is palpation, we have to put it in the palpation bucket, but I'll say how important is tissue control when we're dry needling? So let's tackle topic number one. How important is palpation as a diagnostic criterion for dry needling? And this is where we'll start to see a separation based on when you were trained and how you were trained. Meaning, if you were trained more than five or 10 years ago, or if you took a fairly exclusively trigger point dry needling course, then palpation is key. as a diagnostic aspect, meaning hopefully you're doing other assessment, but when it comes down to firm pressure in tissue, identifying trigger points or top bands or even muscular tissue that reproduces a patient's symptoms or refers into different patterns, very, very high on that diagnostic algorithm, the palpation is. For ice, we are drifting in almost every respect away from the trigger point paradigm. I mean at the highest level we're drifting away from trigger points being necessarily the singular explanation for pain, the direct dry needling target, and even the twitch response as not necessarily being deactivation of shortened sarcomeres, trigger points, all of those things. So the question is immediately asked, so does that mean that we don't palpate? Are we just randomly, generically floating needles into a muscle? The answer is no. We don't palpate trigger points, we palpate motor banding. This follows other philosophies, but motor banding being a slightly larger, slightly more macroscopic tone, I mean it is palpable, but it's not on that microscopic sarcomere level. If you have been needling for any period at all, or if you do any type of any soft tissue work, you know that you can find motor banding in almost everybody's glute medius, vastus lateralis, medial gastroc, tricep, deltoid, infraspinatus. These aren't trigger points, these are motor bands. And there is value to palpating that, and there's value to treating that tautness, that motor banding for dry needling. IS PALPATION DIAGNOSTIC? So back to the question at hand is like, how important is palpation as far as a diagnostic criteria? For ice, for us, it's a little less important than perhaps a purely trigger point based therapist, but it's not completely unimportant. It's just a lower, it's lower importance on our assessment, meaning Hopefully we had a full patient interview, a subjective, a full assessment. There was something that led us to treat vastus medialis for Gladys' knee pain or infraspinatus for Gladys' shoulder pain. So we're already approaching the patient, essentially knowing that we're going to treat these muscles. Then, and the narrative that we use on our courses is that, that very last piece of the puzzle, like if there are any puzzlers out there in the group, you know, depending on how challenging your puzzle is. It just took you a few hours, a few days, a few months. You did the edge first, maybe that's your patient interview. Then you fill in different colors, different objects. Maybe that's the rest of our assessment. But then there's that last puzzle piece. Almost always it's lost under the couch or something, but it's that last piece. And you're like, sweet, found it. I'm gonna put this in. That is our palpation. meaning everything else in our assessment, in our treatment model, interviewing the patient, led us to treat this muscle. That last puzzle piece before we put in a needle, so we've decided we're gonna use dry needling, we've decided we're gonna treat infraspinatus, that last puzzle piece is spending five to 10 seconds finding that motor banding, finding tautness, finding any tenderness, finding anything that reproduces symptoms. But the shift that I'm acknowledging is that that final puzzle piece was not the full puzzle. Depending on how you're trained and when you were trained, palpation was what created the whole puzzle. Meaning if you are a little bit more trigger point centric, we really rely on palpating a trigger point or palpating that banding and having it reproduce the patient's symptoms or at the very least be a familiar sensation. Or to say an extreme opposite of, If you're relying exclusively on trigger point identification and you palpate, you dig your fingers into a muscle and don't find tautness, that almost starts to sound like, okay, we're not gonna treat this muscle. So again, the paradigm shift we're talking about is that palpation is always a part of the equation, even for diagnosis, I'll say, or even when deciding where to place our needle for dry needling. But depending on how you were trained, depending on how much emphasis you put on that pain generating reproduction of palpation based tone, it is like what decides if you're gonna needle at all, or it really just decides where you're gonna put the needle in. So that's number one. If we're just talking palpation this morning, the first topic I wanted to tackle was how important it was diagnostically. and the TLDR there was that we're going to treat that muscle anyways, but there is that final puzzle piece, that final five seconds or so where we look for motor banding. That is where we want to put our needle. GREAT PALPATION IMPROVES PATIENT COMFORT Topic number two, I guess we're still going to call it palpation, but now it is about the technical aspects of controlling tissue while our needle is in. No matter what technique, no matter how you were taught to tap the needle in, set up a bracket window with compressed tensioning of tissue, or squeezing, or setting up the OK sign. Now we're saying, how important are the more nuanced aspects of tissue control? So again, we're not talking diagnostic criterion anymore. Here is where this tissue control, this tissue feel, this firmness of palpation separates novice needlers and more experienced needlers. Here we are saying that this is one of the primary aspects for making dry needling comfortable. You could probably argue this is part of making dry needling safe, but here is where palpation, quote unquote, becomes hugely important. very specifically the technical aspects of needling. Myself, when I'm on courses, every once in a while I get on the table for our faculty or just to get some free needles or just to volunteer my body. And when I'm on the table, this probably applies to all of you out there who have been needling for a while or work with someone who's needled for a while, you can tell pretty quickly, meaning before a needle is even tapped in, you can tell pretty quickly how confident that clinician is, how experienced they are based on how they palpate. And that is key. This tissue control, how we identify those motor bands that we just discussed for diagnostic or deciding where to put our needle, but really making the insertion comfortable, getting through some dense fascial planes or deeper into tissue, or just quickly, confidently, consistently getting into a muscle. There's kind of a clinical proficiency here as well. That is an expert art. Masters who do dry needling do this very well. So again, we've split the road. We're no longer talking about that being important for diagnosis. Now we're saying this is what separates expert clinicians from newer needlers is the tissue control. If you've ever taken a course for me or a course for me recently, when we leave the weekend, the last few slides, I kind of give you a few things to remember. And one of those things I hope was, Dry needling is a skill that you have to use, use it or lose it, unfortunately. That's tough in some states where you just learned, you just took your weekend course, you just learned how to dry needle, and you can't immediately go back and start needling every single patient in the clinic. But what you can do is start palpating your colleagues, your partners, your patients. You can work on that firmness of tissue pressure, you can work on tissue control, and really I'll say that is a primary aspect for dry needling. Again, not diagnosis necessarily, but making dry needling more comfortable, more effective, and clinically more efficient. SUMMARY And that's where I'm gonna drop off today. I mean, the emphasis today, I'm Paul, I'm one of our leads for the dry needling division, so this is kind of a dry needling topic, but really, didn't talk much about needles today. The question I wanted to answer is how important is palpation? And if you're just jumping on, thanks for joining. See a bunch of folks joining on Instagram. First of all, can we be safe with palpation only, meaning compared to ultrasound guided dry needling? The answer is yes, most of the time in most places. If we're palpating ribs posteriorly, maybe not. Number two, How important is palpation for guiding our diagnostic, our diagnosis, as a diagnostic criteria and how important is palpation? And the answer there is a little less if we're not talking trigger points, but it is that final piece of the puzzle. There is that final three to five seconds before we put the needle in that says, aha, motor banding, just palpated it, that's where I'm going. The third aspect of palpation is how important is it for dry needling, comfort, efficiency, all of that. And that's where we say very high. That is really what separates experts from novice or that's what separates a more efficient, proficient, confident clinician when it comes to dry needling. So the challenge this morning is if you have not really been waiting palpation as important for that pre-insertion with your needle. The challenge this morning is to spend two to three extra seconds. Add five more pounds of pressure through your fingertips. See if you can be a little more precise with identifying your motor banding before you put a needle in. And from there, once you've tapped the needle in, maintain that tissue control or that palpation focus for the entire time the needle is in. So this morning we won't talk about are we gonna piston a bunch, are we gonna twist it, are we gonna just leave it, are we gonna do e-stim. For now I'll just say for the entire time you're inserting the needle, you're moving the needle, you're repositioning the needle, focus on the palpation, the tissue control, maybe more than you were before. That is what separates the experts. So with that, I'm going to drop off. I held it to 15 minutes, which is always a victory for me. I apologize for the darkness this morning. I have my ring light on, but otherwise, kiddo is sleeping right next door. So we are dark and quiet here in the Killoran household. It is very early on the Pacific coast. So if you're jumping on, catch the recording, catch the first 10 to 15 minutes. How important do you feel palpation is? Or even to ask it another way, how do you feel your palpation, your tissue control, your confidence in palpating stuff has matured and improved from when you started dry needling to today? I'd love to hear, I'd love to have a poll, maybe I'll throw it up on Instagram, but I'd love to hear some comments on has it gotten better, has it stayed the same, more important, less important, where do you place palpation on your paradigm of importance, your pyramid of significance when it comes to dry needling. Otherwise I'm dropping off, if you're trying to catch a dry needling course with us for ice, The next few months are key, meaning we've had a really busy February. We have a really busy March and April. Then things kind of slow down. May, we take Mother's Day off. We have Memorial Day off. We have a post-sampler rest. So things start to slow as we get into the summer. All of our faculty have kiddos and family, and we know you all do too. So the summer will be a little lighter for courses. So if you're trying to catch us before the summer, Check out March and April courses. Ellie will be in Bozeman, Montana this weekend. I'll be in Baton Rouge. And then we've got a handful of other ones coming up. Otherwise, we're setting up our fall calendar now. So keep your eye on the calendar if you're looking for something post-summer for dry needling. As always, at PTONICE.com or check us out Instagram at Ice Physio or DPT with Needles. Thanks for listening, folks. Catch you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
Welcome to the next episode of the Schofield Chiropractic Training Podcast! In this episode, your host Dr. Fred Schofield delves into the secret ingredient to being successful in your practice and life. Dr. Fred emphasizes the crucial role your practice plays in shaping your lifestyle and impacting your family. He encourages listeners to push through challenges, minimize complaints, and focus on achieving their goals with determination and commitment - MoChihChu! Listeners are reminded to prioritize self-care, including sufficient sleep, affirmations, and goal setting. Dr. Fred emphasizes the importance of consistent practice, continuous learning, and sustaining energy to achieve long-term success. The episode also highlights the significance of hands-on skills such as palpation and consultation, as well as understanding neurology and orthopedics. Dr. Fred emphasizes the importance of belief and conviction in one's practice, as well as the value of building quality relationships with patients through trust and knowledge. Tune in to gain insights on how to enhance your practice, develop your skills, and cultivate the belief and conviction needed to succeed in chiropractic care. Ask a Question Apply to work with our coaches! https://www.mochihchu.com/pages/1-on-1-personalized-coaching Join Susan's monthly CA webinars: https://www.mochihchu.com/collections/tele-trainings Join us at our next seminars: https://www.mochihchu.com/collections/seminars Join the Rhino Digital Training! https://sk188-4ebf4f.pages.infusionsoft.net/
The Bad Batch is back! And what a batch of episodes! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Dr. Cody Gingerich // #ClinicalTuesday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Extremity lead faculty Cody Gingerich discusses the importance of thorough palpation to rule in or out differential diagnosis during an objective exam. Take a listen to the episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our Extremity Management course or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION CODY GINGERICH All right, good morning everybody and welcome to the PT on Ice daily show. My name is Cody Gingrich. I'm one of the lead faculty in the extremity division coming to you on a clinical Tuesday. So getting into it, what I want to talk about today is talking about palpation and using a good palpation exam in your objective exam for doing some differential diagnosis. We're going to talk about the upper extremity and the lower extremity and why doing a really solid palpation job in those areas, specifically when you're dealing with extremity management. is going to be super, super important when you're trying to differentiate, is this something that might be more of an extremity issue or is this potentially something that's coming more from the spine, okay? We're going to talk about different things that you might see from a subjective standpoint that might lead you to figuring out, not having a super clear picture on which of those two things it might be. UPPER EXTREMITY PALPATION So we're going to start in the upper extremity, okay? So things that you might see or hear, I guess, from your patient when you're doing your subjective exam. right? Numbness and tingling that comes down the arm that comes down lower than the, um, than the clavicle elbow, potentially even all the way into the hand. Okay. Anything noticing tingling. A lot of times when we hear numbness, tingling, we're immediately clued into, Oh, that might be a nervous system problem. That can be a cervical radiculopathy, all of those types of things. but then some of their other aggravating factors are going to be, right? Potentially sitting at a desk, if it's a more of a fitness athlete, pressing overhead, all of those type of things might bring out their symptoms. So if they're sitting, if they're driving, where they could be stressing the actual cervical spine, but they could also be very much stressing that posterior shoulder, okay? Another thing that I see all the time is anterior shoulder pain. Okay, anterior shoulder pain with a lot of pressing type of movements and a lot of times if you know someone's sleeping on that shoulder or whatever else, we need to figure out is that coming from that anterior shoulder, but also we get a lot of referral from the posterior shoulder that pings right to that anterior shoulder. Okay, so I want to talk about how then your palpation job is going to be most efficient in bringing out some of those symptoms. The number one thing is you have to have a system. You have to have a system to know when you're going, where you're going to be and how you get back to that spot every time and how you touch each and every muscle area on what you're trying to palpate. In the extremities, specifically posterior shoulder and posterior hip when we get to it, posterior lateral hip, you can actually hit all of those structures and feel good about where you are palpating is touching what you want to touch. In the spine and areas like that, there are so many layers of tissue, you can't really always say, like, I know what I'm on, but specifically in the back of the shoulder, you can say, I'm on infraspinatus, I'm on supraspinatus, I'm touching teres. All of those things can be very confident that you're hitting that. So where do you want to start? Inferior angle of the scapula. Then you work laterally. You know then when you work laterally and you come back to that inferior angle, you go thumb, thumb, and then you start here and then you work away again. Come back, thumb, thumb, thumb. Now you're three thumb widths up. Each time you're touching your thumb, like working and doing your palpation every time. Now the key with this is if you find a spot and your patient says, Ooh yeah, that's tender. You can't just say, oh great, and move on. You need to spend some time in that area and hold and sustain that pressure. If in this objective they said, well it takes sometimes half of the day in order to bring out my symptoms where I start to get that tingling, then four seconds of you palpating that area on the back of their shoulder is not going to be enough to bring out those symptoms. Maybe 30 seconds, maybe 40 seconds of you really sustaining pressure there is going to be necessary before maybe they start saying, Oh, you know what? It's not just tender there anymore. It's actually starting to creep a little bit here. That's when you can say, Oh, well, maybe that extremity management or that extremities focus is going to be where we need to be. And it's not as much in the cervical spine, right? So that's where you want to really pay attention to what you're doing. You don't always have to get symptoms all the way down the arm, because that may take a very long time for them to get those symptoms all the way down. But if it starts to creep, down the arm like this, you can be pretty confident. There's definitely something coming from that shoulder, that posterior shoulder, where it is relevant as opposed to the cervical spine. Same exact conversation. We're talking about anterior shoulder pain. We are really thinking a lot of times when someone says, Hey, yeah, it hurts right here. First clue might be like, Oh, that might be some biceps, uh, tendonitis, tendinopathy, something like that. But If you, and most people are going to be tender when you palpate right on that anterior shoulder. Note that, but also make sure you do that really solid palpation job on the backside of the shoulder and sustain some pressure. If they find some, if you find something that's tender, sustain that pressure very often. They're going to say, Oh, you know what? I actually do feel that in the front of the shoulder. Okay. Now we need to be hitting the back of the shoulder to treat the front of the shoulder. Okay. And that's where our differential diagnosis, that hypothesis list that we generate from the subjective exam pressing, right? You're like, Oh, okay. That's an anterior shoulder. Definitely a lot of heavy work for the anterior shoulder. But if we're pressing, if we're really working our elbows into that front rack or something like that, that post to your shoulder and that rotator cuff in the back is also getting a lot of work to get that hand on top of your elbow. Okay, so both things are relevant there. Those are going to be the two main things in the upper extremity that you're wanting to change that hypothesis list. Cervical spine, we're getting a lot of just numbness, tingling symptoms down the arm. Okay. If the cervical spine is not blipping a bunch of that stuff, check posterior cuff. Same thing with anterior shoulder. If they're saying anterior shoulder, I get that when I'm benching, when I'm pressing, when I'm whatever, palpate the back of the shoulder, make sure you're doing a good job sustaining pressure. This position right here is occluding blood flow to the back of the shoulder where we sit almost all day, just like this. We are now no longer giving the back of our shoulder a really good environment to allow blood flow and healing. Okay? And so if they're just tugging on those structures all day long, now all of a sudden sitting at a desk can bring out some of those symptoms. LOWER EXTREMITY PALPATION Shifting gears to the posterior lateral hip, very similar conversation. In extremity management, palpation can matter. You can be confident in what you are palpating to know that you're on the structures that you are trying to hit. Again, you want to have a system. There are two ways that you can really create your system. If you want to start at the greater trochanter and work your way superiorly, you can do that. And then each time, you know, I went immediately superior from this greater trochanter, we're hitting glute med, and then we are working and fanning away from the iliac crest. and we can work away that way to the posterior hip. So that way we can know we've hit glute med, we've hit glute min, we've hit glute max. You can also start from the PSIS and work your way more anteriorly and then down to the greater trochanter. Very similar in that you will probably need to sustain pressure. There are people that are going to be mostly tender there. If you find tender spots, sustain some pressure. if you have not sustained pressure for upwards of 30 to 45 seconds to at least see if symptoms have changed at all. And the question is, are you still feeling that right under my thumbs or has that started to creep anywhere? you'll get symptoms all the way down the leg. If we're trying to differentiate between lumbar radiculopathy, symptoms down the leg, into the calf, all the way into the foot, can be symptom generators coming from glute med, glute med. They can also be symptom generators of the spine. Okay, you have to get on those structures and see, is there anything creeping? Do you feel changes in your foot in your calf when I'm sustaining pressure on the muscle tissue? If you are on the muscle tissue, you can be pretty confident that that is not a back thing anymore, at least not fully. And you need to then have a good understanding of where am I? Can I then treat that out? We need to pump some blood to it. If we need to do dry needling, if we need to do some soft tissue and then work some strength, some blood perfusion type of exercises there. Okay. Also, hamstring type of things where people are not sure did I tweak a do I have like a high hamstring injury? Do I have more of a low back injury? That's another differential. When you're here and subjectively right sitting prolonged sitting is going to bring on these symptoms. Well, prolonged SIM sitting is stressing the lumbar spine, you are sitting in some lumbar flexion when you're sitting. The other thing that you're doing is you are occluding blood flow to that posterolateral hip at the same time. Okay, so both things can happen and then that can create irritation to the tissue. Very similar to this posture, any prolonged sitting can bring on that posterolateral occluding blood to that aorta and bring on tissue dysfunction. And that can create symptoms down the leg, again, hamstring, calf, foot, ankle, anything like that. COMBINING SUBJECTIVE & OBJECTIVE EXAMS Okay. So the big takeaways here are subjectively, these things are going to feel, you're going to have your hypothesis list, but you may not be like, they might be pretty equal when we're talking about the hypothesis list before you touch the objective exam. Then, same thing, when you're going through your objective exam, if you just do range of motion, if you do lumbar flexion range of motion, and that comes out, potentially you have stress lumbar flexion, yes, you are also tugging on your posterior lateral hip when you bend forward into flexion. Okay, so don't forget to make sure that you are ruling out that palpation and that lat posterior lateral hip in the hip, or that posterior shoulder when you're in the upper extremity, because those things might still be relevant. And you need to do a good job in palpating to make sure that you are clearing those areas and creating a really solid differential. because subjectively your hypothesis list is going to be very equal going into objective exam and not always with functional movements or range of motion. Are you going to really be able to bump one of those things up or down? But if you get into that palpation and say, you know, I've hit these areas and it wasn't maybe it was tender, but I sustained that pressure and I made sure I hit every single section because I was efficient and I was clean with where I was going each time and nothing really came out. then you can be pretty confident. Maybe it's not those tissues in the posterior shoulder or the posterolateral hip. Maybe we are looking more at the spine, okay? So that's really what I wanted to come on here and talk about today. In the extremity management division, we touch on that briefly when we're going through our objective exam, but I wanted to give a little bit more clarity today on what exactly you're looking for subjectively, and then how can you make a really clean objective palpation exam when you're trying to differentially diagnose. So that's what I wanted to come on here and touch on today. If you want to catch Extremity Management on the road here in the next couple weeks, we've got Lindsey on the road out in Carson City this weekend, so if you want to catch Mark or myself, both of us are on the road March 16th and 17th. I will be in Aiken, South Carolina. Mark will be in Spring, Texas. So we pretty much have West Coast to East Coast covered here over the next month or so. So jump into one of those courses. We'd love to see you out. And hopefully we will catch you all tomorrow on the iShow. OUTRO Hey, thanks for tuning in to the PT on ICE daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
In this episode, Jonathan Chang and Jason Robertson discuss a case which shines a light on the interesting role channel palpation might play in Chinese herbal medicine. What seemed like a fairly straightforward gynecological case using Wen Jing Tang (温经汤) offered potential insight into the Yang Ming system. One of Dr. Wang's hopes was to integrate channel palpation more methodically into Chinese herbal medical diagnosis and strategy. To that end, Dr. Wang used herbal formulas in some of his clinical cases but felt that the work was not finished. We're hoping that those listening might find ways to build experience using this approach to evaluate the mechanisms of formulas in their clinics.
During this episode I discuss palpation as a skill. I open the episode with the topic of inter/intra rater reliability in research and how it relates to the topic of palpation. I discuss what I think are some of the positives and negatives in the broader discussion of palpation as part of the clinical picture and learning. Along the way I provide examples of how I use palpation in my practice, how I relate it to the outcomes I am attempting to achieve and the decisions I make in my practice. Does you think palpation is a necessary skill? Comment your thoughts below. --- Send in a voice message: https://podcasters.spotify.com/pod/show/concast/message
L'auto-palpation est un geste clé dans la détection précoce du cancer du sein. Elle ne se substitue pas aux visites régulières chez un médecin, un gynécologue ou une sage femme. Les chances de guérison d'un cancer du sein décelé à temps sont de 99%. Palpons-nous ! Et faisons passer le message à notre entourage. Bonne écoute !
In this episode, Dr. Mark Hoffman invites Dr. Ted Lee, an OBGYN specializing in MIGS and professor of OBGYN at University of Pittsburgh Medical Center, about the ambulatory workup of endometriosis patients. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/bT7a9b --- SHOW NOTES The episode begins with the physicians discussing the difficulties of diagnosing endometriosis, including: the stigma of pelvic pain/not believing women's pain, recognition that pelvic pain is not normal, the discomfort of physicians asking the appropriate questions for pelvic pain, and the hesitancy towards surgery by physicians and patients all play a role. Many patients have been having pain for years that may have been covered up by OCP use or misdiagnosed as IBS or interstitial cystitis. Ted emphasizes the importance of a thorough history in diagnosing endometriosis. Essential information includes age of onset of symptoms, gravidity and parity, prior C-section (abdominal wall endometriosis) and the “3 D's” of dyspareunia, dyschezia, and most importantly dysmenorrhea. A quality physical exam can also elucidate endometriosis. Ted starts by palpating the anterior vaginal wall, then the levator ani muscles and cervix, and finally the rectovaginal exam. Palpation of the uterosacral ligament and posterior cul-de-sac in endometriosis patients causes a visceral reaction, and advanced disease may also have nodules felt. The majority of patients don't require additional imaging since ultrasound is insensitive for stage 1 and 2 endometriosis. Indications for MRI include endometrioma, nodularities felt on exam, and abdominal wall endometriosis. When it comes to surgery, both doctors emphasize the importance of having other surgeons on your team, including colorectal surgery, general surgery, and urology. Ted dives into some surgical tips and techniques from his years of experience. Finally, the physicians end by discussing the future of endometriosis diagnosis. A Japanese study has recently found fusobacterium in the uterine microbiome in endometriosis patients more often than those without. Also, a French study has taken saliva samples and found signature microRNAs for endometriosis. It will be interesting to see how studies like these change the future of endometriosis diagnosis and if it will bring new challenges, such as overtreatment and overdiagnosis. --- RESOURCES Muraoka, A., Suzuki, M., Hamaguchi, T., Watanabe, S., Iijima, K., Murofushi, Y., Shinjo, K., Osuka, S., Hariyama, Y., Ito, M., Ohno, K., Kiyono, T., Kyo, S., Iwase, A., Kikkawa, F., Kajiyama, H., & Kondo, Y. (2023). Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts. Science translational medicine, 15(700), eadd1531. https://doi.org/10.1126/scitranslmed.add1531 Bendifallah, S., Suisse, S., Puchar, A., Delbos, L., Poilblanc, M., Descamps, P., Golfier, F., Jornea, L., Bouteiller, D., Touboul, C., Dabi, Y., & Daraï, E. (2022). Salivary MicroRNA Signature for Diagnosis of Endometriosis. Journal of clinical medicine, 11(3), 612. https://doi.org/10.3390/jcm11030612
I don't always trust muscle testing, especially if the symptoms don't match with a strong test where I think there's some over-use injury. I want to put my fingers or thumb on a muscle to feel for hypertonicity before I rule it out as a part of the problem. It's easy to miss a hypertonic muscle if the manual muscle tests seem normal and you don't palpate to confirm. https://richardhazel.podia.com
This week the gang is reviewing the script written by Steel City Hitch and his writing partner Chat GPT! Check out the script here: https://www.nerdcyclopedia.com/post/what-if-mace-windu-killed-palpatine Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Andrea invites Jill Miller in today's episode to discuss achieving relaxation, increased mobility, and body awareness. Jill Miller is an expert in fascia, yoga, and corrective movement, as well as a thought leader in the world of holistic health and wellness. As an accomplished author, her works include the books The Roll Model and The Body by Breath, both of which are highly-regarded resources for those seeking optimal mental and physical wellbeing. Andrea and Jill dive in to incorporating simple techniques into your daily routine and increase benefits of a relaxed mind and body. In this episode, you will be able to:Discover the secrets to achieving a relaxed state through body awareness and breath control.Uncover how a simple shift in perspective can lead to a powerful relaxation response.Develop your skills in self-massage techniques to enhance mobility and release muscle tension.The key moments in this episode are:00:00:00 - Introduction, 00:06:20 - Mental Health Journey, 00:10:34 - The Five P's, 00:13:27 - Physiological Relaxation, 00:15:39 - The Importance of Position, 00:20:24 - The Power of Palpation, 00:24:20 - The Zones of Respiration, 00:29:02 - Self-Massage Techniques, 00:32:43 - High-Stress Zones, 00:38:20 - Where to Find JillFollow along with Jill and her ResourcesRib Flare Video click HEREPec Minor Video click HEREDiaphram Psoas Video click HEREInstagram @thejillmiller @tuneupfitnessWebsite https://www.tuneupfitness.com/Tools https://www.tuneupfitness.com/shop/massage-ballsBooks click HEREAll links click HEREMake it Simple is sponsored by Cozy Earth use code SIMPLE40Visit Follow the Make it Simple Podcast@make.it.simple.podcast Follow Andrea on Instagram@deliciouslyfitnhealthy@dfh.training.picsTraining & Coachinghttps://www.deliciouslyfitnhealthy.com/linksVisit Andrea's Websitewww.deliciouslyfitnhealthy.comProduced by Light On Creative Productions
In this episode Jonathan and Jason discuss the fascinating synergy of the annual TCM Kongress held in Rothenburg Germany. This event was the last place Dr. Wang taught internationally in 2014 and one he enjoyed immensely. This year, Jason participated in a roundtable discussion and demonstration of palpation in East Asian medicine. In addition, he discussed the anatomy and physiology of the Jueyin system as described in classical texts with Italian sinologist Giulia Boshi. For more information on the Kongress see Home - TCM Kongress Rothenburg (tcm-kongress.de).
This week the gang is trying something different! We are going to ask the question of What if Mace Windu killed Palpatine? What are the ramifications? What does the political fallout look like? How does this affect Anakin? We break the story during this episode! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Her gastrointestinal pain drastically decreased after an osteopath treated her following 4 bowel surgeries at 21 years of age. She began moving better, had less bowel tension and gradually progressed back to her quality of life pre-surgery. She resolved to serve people in the same manner. Melanie is constantly learning with the goal of being able to individualize patient care. She strives to be present with her patients and present in her body through her yoga practice and ice baths. She seeks optimal health through healthy, grateful eating and a keen awareness of the importance of gut health. Among the many forms of healing she uses she also treats nightmares in children with deep cranial techniques. We touched on many topics in this conversation. I hope you enjoy. onmmpodcast@gmail.com melanie.wilde@hotmail.it --- Send in a voice message: https://podcasters.spotify.com/pod/show/benjamin--greene/message
We are back this week to talk about episode 7 & 8 of The Bad Batch! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.
Palpation, or touching, the pregnant belly during labor gives LOTS of information! Sarah & Charli go over why it's done so much in the midwifery model and what information it provides both prenatally, in labor, and postpartum. --- https://hearthandhomemidwifery.com
Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons seems to be very slow to get better. Link to Evidence for Improvement in Local but not Diffuse Pressure Pain Thresholds Following Physical Therapist Interventions for Tendinopathy: A Systematic Review Link to Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball playersSee omnystudio.com/listener for privacy information.
In this episode, Dr. Jay and Brad interview Dr. Mark King, DC the president of Motion Palpation Institution and an active Chiropractor in Cincinnati, OH. Dr. Mark A. King is a cum laude graduate from Life Chiropractic College in 1986. He was an honor student and athlete at Florida Southern College and graduated in 1982 Dr. King and Dr. Moloney started the Mt. Lookout Chiropractic and Sports Injury Center together in 1987. In 2010, they moved to the Lincoln School Building so they could expand their practice to include chiropractic and physical therapy. Dr. King has studied, lectured, and written extensively on musculoskeletal injuries and the latest cutting-edge treatment and rehabilitation methods. He is currently the president and instructor for the Motion Palpation Institute, a premier postgraduate educational organization. Dr. King teaches classes throughout the world for the Motion Palpation Institute. He is a member of the American Chiropractic Association and the Ohio State Chiropractic Association. Dr. King is past president of the Southwestern Ohio Chiropractic Association and Chiropractic Choice. Dr. King enjoys reading, outdoor sports, and spending time with his wife and 4 children. He has many years of coaching experience in youth basketball in the Cincinnati area.
Palpation of the SIJ: an anatomical and sensory challengeAuthor: CM McGrathValidity of the active SLR test for measuring disease severity in patients with posterior pelvic pain after pregnancy. Authors: A. Mens, M. Jan, A. Vleeming, et al.
In this week's episode of Today's TIC, we dive into conversation around The Chiropractic 33 Principles … #111 | Principled Palpation and History of Muscle Palpation with Claude Lessard, DC Read More » The post #111 | Principled Palpation and History of Muscle Palpation with Claude Lessard, DC appeared first on Trent Scheidecker, DC.
Dr. King became the third President of the Motion Palpation Institute in 2001 and continues in that capacity. He has been an instructor for the Motion Palpation Institute since 1994 and has taught all over the world. He has co-authored a case presentation for JMPT on cervical spine instability following a traumatic automobile accident. He has written over 25 articles for Dynamic Chiropractic. Dr. King is our biggest chiropractic mentor and a great human. Enjoy this conversation where we dive into the Motion Palpation Institute and the future of the profession. Show Notes Motion Palpation Institute --- Support this podcast: https://anchor.fm/gestalt-education/support
L'auto-palpation est un geste clé dans la détection précoce du cancer du sein. Elle ne se substitue pas aux visites régulières chez un médecin, un gynécologue ou une sage femme. Les chances de guérison d'un cancer du sein décelé à temps sont de 99%. Palpons-nous ! Et faisons passer le message à notre entourage. Bonne écoute !
Get .1 ASHA CEU hereEpisode SummaryCan you really do swallowing assessments via telehealth? You sure can! And this week's guest panel has a wealth of info to tell you just how and why. SLP Nerdcast's own dysphagia correspondent Tracey Callahan joins fellow dysphagia SLP and researcher, Dr. Georgia Malandraki, to address your fears and give you the tools to explore whether tele-services for swallowing are a right fit for you and your patients. Tune in to learn about regulations and safety considerations and get a great foundation to develop an assessment and treatment, and virtually plan a session with best practice in mind. The application of everyday technology and cutting edge wearable technology is a real treat in this info-packed discussion which highlights the roles and benefits of tech tools in data collection, feedback, buy-in, and progress for swallowing patients. This expert crew discusses honest limitations of the tele-service platform as well, offering a well-rounded picture of the similarities and differences, pros and cons of onsite versus online swallowing assessment and intervention. It is amazing to consider that some aspects of swallowing services are actually enhanced over telehealth with a patient in their own home- who knew? This is a meaty but incredibly innovative episode that you're sure to enjoy!Course AccommodationsThe transcript for this course is provided below. You can also email us at ceu@slpnerdcast.comLearning Outcomes and Course DescriptionThis course reviewed regulatory and clinical guidelines for the safe use of telehealth for dysphagia. This course also reviewed the research available for telehealth for dysphagia as well as current technology available.Describe basic regulatory guidelines for the safe use of telemanagement of dysphagia.Identify basic practical/clinical guidelines for the safe use of telemanagement of dysphagia.Summarize the research evidence available for the use of telehealth for dysphagia management.Describe new developments in wearable technologies for the tele-management of dysphagia.Speaker DisclosuresGeorgia Malandraki financial disclosures: Dr. Malandraki is an employee of Purdue University and receives a salary and grants to support her work. Dr. Malandraki also receives grants from the National Institute of Health related to work in Telehealth. Dr. Malandraki is the co-founder of a Purdue initiated startup.Georgia Malandraki non-financial disclosures: Dr. Malandraki is a member of and the president Elect of the Dysphagia Research Society. She is also the Indiana Speech and Hearing Association co-chair of the telehealth task forceKate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast.Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder for SLP Nerdcast.Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.Tracey Callahan financial disclosures: Tracey is an employee of SLP Nerdcast, owns a private practice, and is the owner of an online learning platform called Guest Monster Games. Tracey Callahan non-financial disclosures: Tracey a member of ASHA and the corresponding special interest group (SIG 13) for Dysphagia. Tracey is a Certified Lactation Counselor through the Academy of Lactation Policy and PracticeTime Ordered Agenda15 minutes: Introduction, Disclaimers and Disclosures15 minutes: Review of the regulatory and clinical guidelines for the safe use of telehealth for dysphagia15 minutes: Review of the available evidence for the use of telehealth for dysphagia management10 minutes: Review of wearable technologies for5 minutes: Summary and ClosingReferences and ResourcesBrates, D., Molfenter, S. M., & Thibeault, S. L. (2018). Assessing Hyolaryngeal Excursion: Comparing Quantitative Methods to Palpation at the Bedside and Visualization During Videofluoroscopy. Dysphagia, 34(3), 298-307. doi:10.1007/s00455-018-9927-2IOPEPurdue "I eat lab"Direct I Eat Telehealth ResourcesASHA State Telehealth PoliciesAustralian Resources for Evidence on TelehealthDisclaimerThe contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we've missed, or another perspective that isn't shared. If you have something to add to the conversation, please email us! Wed love to hear from you!__SLP Nerdcast is a podcast for busy SLPs and teachers who need ASHA continuing education credits, CMHs, or professional development. We do the reading so you don't have to! Leave us a review if you feel so inclined!We love hearing from our listeners. Email us at info@slpnerdcast.com anytime! You can find our complaint policy here. You can also:Follow us on instagramFollow us on facebookWe are thrilled to be listed in the Top 25 SLP Podcasts!Thank you FeedSpot!
Episode #22 In this episode, repiratory terminology will be reviewed including:Palpation and Vocal FremitusPercussion sounds (both normal and abnormal)Nomal breath sound names and locations (including abnormalities)Please check out my website at: https://www.kayhoppepresents.com Be sure to subscribe to my email group to get my FREE Basic Dysrhythmia Cheat Sheet!You can also contact me via email at::kay@kayhoppepresents.comCome visit me on Facebook for daily [mock] CCRN Questions! @kayhoppepresentsRemember the Online CCRN Review Course coming to you in February-March 2022!Have a blessed day!Kay :)
The Motion Palpation Institute's mission statement is to create the best palpators and adjusters in the world! They do this through in-person, hands-on courses with an emphasis on functional assessment and evidence-informed practice. Every year the best of the best meet in Kansas City at Cleveland University for the 'Super Bowl of Adjusting Seminars'. This is without a doubt our favorite weekend of the year. Next year will even feature a 'College Gameday' style pregame! You seriously do not want to miss this! Enjoy this conversation with the whole MPI crew, including Mark King, Brett Winchester, Corey Campbell, Lindsay Mumma, Eric Eiselt, Erika Mennerick, Terry Elder, Steve King, and special guest Bruce Weary. Show Notes Kansas City Travel Series Motion Palpation Institute Website --- Support this podcast: https://anchor.fm/gestalt-education/support
Dr. Leonard Faye single-handedly changed the way Chiropractors assess and treat the joint system. He started the Motion Palpation Institute in the 1980s and has been a crusade to get Chiropractors to view the joint system in a 3 dimensional, functional system. Dr. Faye recently released his new book Chiropractic Odyssey: A Journey of Practice, Seminars, Observation and Reading Science where he chronicles his long journey of organizing his and other's thoughts into an assessment and treatment style of the dynamic joint system. Dr. Faye's teachings and thoughts are at the forefront of Gestalt Education and we were truly blessed to sit down with Len. Enjoy! Show Notes Chiropractic Odyssey Chiropractic Mentor Motion Palpation Institute --- Support this podcast: https://anchor.fm/gestalt-education/support
The foundation of the Mastery of the Art begins with palpation. There are infinite levels of growth that can happen in the artistry of palpation. A new practitioner can develop the habits necessary for excellence in the Art and happiness. As Jan says, “Stress is not stress until the nervous system interprets it that way. Until then, it is information, "to be used for growth and development." The very special guest on this episode Mile High Podcasts is Jan Kirschner, who teaches the page one and page two programs. Jan Kirschner, DC has maintained a private chiropractic practice for the past 32 years, the last 26 of which have been in Boulder, Colorado. He is the creator and presenter of the Page One and Page Two seminars, which instruct students and doctors in essential internal and external skills vital for chiropractic excellence. He was a founding board member of the Association for Network Care, and served on Dr. Epstein's international Network teaching staff. He is a summa cum laude graduate of Dartmouth College, and was valedictorian of his class at New York Chiropractic College. Prior to becoming a chiropractor, he had a career as a writer and performer of comedy, appearing on HBO, off-Broadway and at the Olympic Arts Festival in Los Angeles, among many other venues. On this podcast you'll learn about: Healing versus curing Palpation Tone Presence Analysis The information subluxation And much more! After you enjoy this podcast, you'll want to reserve your seats for Mile High 2021in Denver, September 23rd – 25th. You'll be able to dive into The Art of Chiropractic relative to and congruent with the philosophy and with the science. This Mile High will be the first to feature hands-on break-out sessions. Dr. Jan Kirschner will be leading a palpation hands-on session. You'll experience tremendous growth, and the up-leveling of your chiropractic skillset will be phenomenal. Reserve seats for yourself and your team today at www.MileHighChiroRegistration.com. Looking forward to seeing you on higher ground in September!
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