Dear Tricia:
It has been almost a month ago you ask for suggestions about physical therapy for your patient. I would like to know what has
happened since. My advice woud be to submitt the patient to a Pain Clinic (Team for evaluation pain cases), Although the case
you present is not going to be an easy one, be sure to check hygiene posture and for the pain use electrotherapy, massage on
lumbar and paravertebrals, progressive exercise of lumbar,hip and knee muscles.
You have to take into account that after the coxis removal, pain will be there for quite a long time, but don't give up
easily, reassurement is very important. Remember not allow any retractions.
God luck, and tell us how is she doing.
Best regards.
Delly Jaramillo
Physiotherapist
Ibagué-Colombia
[log in to unmask]
martin rabey escribió:
> >From: [log in to unmask]
> >Reply-To: [log in to unmask]
> >To: [log in to unmask]
> >Subject: Digest of physio - volume 1 #195
> >Date: Mon, 1 Feb 1999 04:07:37 GMT
> >
> >Subjects of messages in this digest:
> >
> > Re: Ultrasound
> > Re: SCIENCE TODAY?
> > Re: Ultrasound
> > Schmidtblelcher articles
> > Re: sacral fracture
> > Re: videos that make a difference
> > Re: Ultrasound
> > asthma and interferential
> > Pulsed Electromagnetic Therapy
> > Re: strapping low backs (preventing numerous flexions)
> > Re[2]: strapping low backs
> > Quit Physio
> >
> >
> >----------------------------------------------------------------------
> >
> >Date: Sun, 31 Jan 1999 17:30:13 -0800
> >From: Craig Pittar <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Re: Ultrasound
> >Message-Id: <[log in to unmask]>
> >
> >An interesting research paper was recently published in the B.M.J.,
> using 20 Treatments of ultrasound for the
> >treatment of carpal tunnel.
> >Its worth a read.
> >
> >Craig
> >
> >tracey cosgrove wrote:
> >
> >> I thought you start with 6 as a trial' but give no more than 12 to 15
> treatments overall, regardless of dose used.
> >> Heck' if they are not continuing to improve at 12 treatments, you'd
> abandon it anyway. No science behind this
> >> though.... sorry, just what I do.
> >> tracey
> >>
> >> --------
> >> >From: [log in to unmask]
> >> >To: [log in to unmask]
> >> >Subject: RE: Ultrasound
> >> >Date: January 29, 1999
> >> >
> >> >Are there any guidelines on the number of doses of high frequency
> >> >[0.75-3.0MhZ] ultrasound using a treatment dose between 0.25-0.80
> Watts per
> >> >square cm that can be given to the same area of the same patient?
> >
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 01:14:51 -0500
> >From: "Michael Meddows" <[log in to unmask]>
> >To: "physio" <[log in to unmask]>
> >Subject: Re: SCIENCE TODAY?
> >Message-Id: <002201be4ce1$040d84e0$321f9cce@r7k7u8>
> >
> >
> >-----Original Message-----
> >From: ROBIN SHUTT <[log in to unmask]>
> >To: physio <[log in to unmask]>
> >Date: Saturday, January 30, 1999 8:19 PM
> >Subject: RE: SCIENCE TODAY?
> >
> >
> >>No - I think it is Exactly what is increasingly required for
> >ublication -
> >>to the detriment of clear and clinically useful communication with
> current
> >>practitioners, who no longer read the articles due to the mass of
> >statistics
> >>and priesthood jargon (UN)necessarily contained to get published in
> the
> >>first place!
> >
> >
> >I do agree with Mr Shutt that many authors could write in a more
> concise
> >manner in order to make their work more understandable to the
> clinicians. It
> >seems as though Dr Siff has tapped into some real frustration regarding
> the
> >editors of our journals. I wouldn't know since I have not had the
> pleasure
> >as yet.
> >
> >However I think too many physios (and other professionals) use the
> jargon
> >and statistics as excuses to not read research that might challenge
> their
> >"clinical judgement" or experience. As professionals, we must be aware
> of
> >what is being published about the value of therapeutic interventions,
> and we
> >should also do this in the interest of our patients !!
> >
> >There is a series from JAMA that is well written regarding how to use
> >medical literature which I recommend to all. It can be found at
> >
> > http://hiru.mcmaster.ca/ebm/userguide/0_users.htm
> >
> >Although learning about odds ratios, confidence intervals, and study
> design
> >may seem tiresome and too much trouble for many clinicians, it is vital
> that
> >we are able to read current literature critically - to use it where
> >appropriate and to wait for further research if needed as well. This
> will
> >also help us to present our profession as more of a science than an art
> (I
> >KNOW it it both) to other professionals and to the public.
> >
> >I think the authors, editors, and audience could all make changes in
> order
> >to strengthen our profession.
> >
> >Michael Meddows PT
> >
> >[log in to unmask]
> >
> >
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 08:02:20 +0100
> >From: Erik Goossens <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Re: Ultrasound
> >Message-Id: <[log in to unmask]>
> >
> >Hi Craig,
> >
> >could you be more specific on the source of the article... Am
> interested in tracing c.q. reading it but need more info on date of
> >publication etc.
> >
> >Kind regards,
> >
> >EGO
> >
> >Craig Pittar schrieb:
> >
> >> An interesting research paper was recently published in the B.M.J.,
> using 20 Treatments of ultrasound for the
> >> treatment of carpal tunnel.
> >> Its worth a read.
> >>
> >> Craig
> >>
> >> tracey cosgrove wrote:
> >>
> >> > I thought you start with 6 as a trial' but give no more than 12 to
> 15 treatments overall, regardless of dose used.
> >> > Heck' if they are not continuing to improve at 12 treatments,
> you'd abandon it anyway. No science behind this
> >> > though.... sorry, just what I do.
> >> > tracey
> >> >
> >> > --------
> >> > >From: [log in to unmask]
> >> > >To: [log in to unmask]
> >> > >Subject: RE: Ultrasound
> >> > >Date: January 29, 1999
> >> > >
> >> > >Are there any guidelines on the number of doses of high frequency
> >> > >[0.75-3.0MhZ] ultrasound using a treatment dose between 0.25-0.80
> Watts per
> >> > >square cm that can be given to the same area of the same patient?
> >
> >
> >
> >--
> >Erik Goossens - Dipl. PT / PT Educator
> >mediFIT - Medical Reconditioning with a view on the Black Forrest
> >http://www.intertext-ziegler.ch/physio.htm (G / still partly under
> construction)
> >CH-4102 Binningen
> >Switzerland
> >
> >
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 01:38:31 -0600
> >From: Kebba Tolbert <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Schmidtblelcher articles
> >Message-Id: <[log in to unmask]>
> >
> >If anyone has (or has access to) translated (English) versions of the
> >following articles please drop me a line:
> >
> >************
> >Schmidtbleicher, D. (1980). Maximalkraft und Bewegungsschnelligkeit
> >[Maximal strength and the speed of movement]. Bad Homburg, F.R.G.:
> >Limpert Verlag.
> >
> >
> >Bührle, M., and Schmidtblelcher. D (1981) Komponenten der Maximal- und
> >Schnellkraft [Components of maximal strength and power].
> >Sportwissenschaft, 1, 11-27.
> >************
> >
> >Thanks,
> >
> >Kebba Tolbert
> >=================
> >Women's Sprints, Hurdles, Jumps & Multis Coach
> >Men's Sprints & Hurdles Coach
> >McKendree Track & Field
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 08:52:09 +1100
> >From: "Anna" <[log in to unmask]>
> >To: <[log in to unmask]>
> >Subject: Re: sacral fracture
> >Message-Id: <005801be4cf0$4e472520$63146ccb@cnwdes1a>
> >
> >I would say definitely a work conditioning (physical upgrading)
> programme
> >specifically addressing the deficits. From your description, only hands
> on
> >stuff would probably give you little joy. Sounds like a fairly vigorous
> >programme is needed and perhaps some pain management strategies.
> >
> >
> >Anna Lee.
> >Principal, Work Ready
> >
> >Write to me at [log in to unmask]
> >Visit me at www.workready.com.au
> >
> >Snail mail:
> >Suite 3, 82 Enmore Road
> >Newtown 2042
> >Australia
> >Phone: (02) 9519 7436
> >Mob: 0412 33 43 98
> >Fax: (02) 9519 7436
> >-----Original Message-----
> >From: Miller, Tricia <[log in to unmask]>
> >To: [log in to unmask] <[log in to unmask]>
> >Date: Saturday, 30 January 1999 7:55
> >Subject: sacral fracture
> >
> >
> >>I have an interesting and challenging case I could use some
> suggestions
> >for.
> >>An otherwise healthy 24 year old female came to the clinic 1 1/2 years
> >after
> >>a motor vehicle accident resulting in an L5-S1 transverse process
> fracture,
> >>and sacral fracturing x 3. She has a history of spondylolisthesis of
> the
> >>lumbar spine. 7 months ago she had her coccyx removed. She presents
> to
> >the
> >>clinic with complaints of constant pain in the sacral region and low
> back,
> >>and little/no tolerance for sitting or static standing. Examination
> >reveals
> >>nearly full trunk ROM with pain on extension. Strength findings are
> >>minimal, with minimal decrease in hip rotation and flexion muscle
> power.
> >>Flexibility of the hamstrings is good, hip flexors good. Special
> testing
> >>reveals pain with SLR, Fabers, long sit and prone knee bend. Neuro
> signs
> >>are negative. Palpation reveals significant severe pain with
> mild-moderate
> >>pressure over the central lumbar spine, paraspinals, and entire sacral
> >>region.
> >>This patient is facing spinal fusion surgery if conservative physical
> >>therapy is not successful.
> >>Please email any suggestions for effective techniques to decrease
> pain,
> >>increase stability, etc. to allow this patient to meet her goals for
> >>recovery.
> >>Thank you,
> >>Amy Corazzari, MPT and Tricia Miller, PT at MacNeal Hospital, Berwyn,
> IL
> >>
> >
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 08:21:43 -0200
> >From: [log in to unmask]
> >To: [log in to unmask]
> >Subject: Re: videos that make a difference
> >Message-Id: <[log in to unmask]>
> >
> >Dear all
> >
> >OUr PT study group is implementing a session of video watching
> >sessions for learning and updating our konwledge on different areas.
> >I know of a few people that have produced videos like Sullivan's (
> >FaDavis) and Maitlands by ButterworthsHeineman
> >I would like to know if you have suggestions on where to get good
> >study videos for physios in developing countries in the main areas
> >of PT or techniques. Even basic stuff is good suggestion provided
> >is has content and is widelly referenced scientifically.
> >I would appreciate your suggestions , names, producers, authors
> >whatever. Thank you so much
> >Wilton Remigio, PT
> >Brazil
> >*****************************
> >
> >Wilton Remigio
> >Fax/phone: 55 71 241 3131
> >Phone direct : 55 71 9227404 ( Mon- thru Fri until 4PM East time)
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 12:04:24 +0000
> >From: Carol David <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Re: Ultrasound
> >Message-Id: <[log in to unmask]>
> >
> >
> >
> >Erik Goossens wrote:
> >
> >> Hi Craig,
> >>
> >> could you be more specific on the source of the article... Am
> interested in tracing c.q. reading it but need more info on date of
> >> publication etc.
> >>
> >> Kind regards,
> >>
> >> EGO
> >
> >Dear all,
> >I think the article is probably
> >Ebenbichler GR et al: Ultrasound treatment for treating the carpal
> tunnel syndrome: randomised "sham" controlled trial. BMJ 1998;
> >316:731-735
> >Full text available:
> >http://www.bmj.com/cgi/content/full/316/7133/731
> >
> >Do check out the excellent BMJ site at www.bmj.com. It's searchable,
> with the only drawback being electronic archives only go back to
> >1996.
> >
> >Regards,
> >
> >Carol David
> >
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 11:50:12 PST
> >From: "kulmeen chadha" <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: asthma and interferential
> >Message-Id: <[log in to unmask]>
> >
> >Dear all
> >
> >I recently read in an alternative therapy magazine, the use of
> >interferential therapy for asthma sufferers.
> >
> >If this is so what are the affects and what frequencies would you use?
> >
> >Help me if you can
> >
> >Thanks
> >
> >______________________________________________________
> >Get Your Private, Free Email at http://www.hotmail.com
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 21:21:34 -0000
> >From: "Geoffrey Goats" <[log in to unmask]>
> >To: "PHYSIO" <[log in to unmask]>
> >Subject: Pulsed Electromagnetic Therapy
> >Message-Id: <000201be4d5f$cb9c42c0$ea3fa8c2@bvmtkald>
> >
> >Dear Colleagues,
> >
> >I am attempting to update my understanding of the interaction between
> radio
> >or microwave frequency electromagnetic fields and biological tissue.
> This
> >is relevant to those physios (like myself) who still use Megapulse /
> >Curapulse (or similar) pulsed electromagnetic therapy units to
> accelerate
> >soft tissue healing.
> >
> >I am convinced, more by anecdote and clinical experience rather than
> through
> >reports of well constructed research, that this modality can be
> >therapeutically useful. Being somewhat out of touch with the field, I
> >continue to believe that our understanding of the mechanism for a so
> called
> >'non-thermal' effect at the cellular level remains elusive.
> >
> >To help me get back up to speed on this, does anyone know of :
> >
> >a) References for any recent reviews of these processes (preferably in
> >English).
> >
> >b) Relevant web addresses for newsgroups or discussion lists.
> >
> >c) Researchers active in this field who might be willing to help set
> me on
> >the right path.
> >
> >Many thanks.
> >
> >Geoff goats. Norwich. UK.
> >e-mail [log in to unmask]
> >
> >
> >
> >------------------------------
> >
> >Date: Mon, 1 Feb 1999 9:29:00
> >From: Michael Carter <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Re: strapping low backs (preventing numerous flexions)
> >Message-Id: <[log in to unmask]>
> >
> >
> >--=PMail:=_0001@@xSyVBY0zaQ0D5o1eC2ua
> >Content-Type: text/plain
> >Content-Transfer-Encoding: quoted-printable
> >
> >Craig
> >
> >If you're primarily interested in reducing the number of
> >times patients flex past their neutral zone, and not
> >necessarily focused on providing *physical* support to
> >achieve that objective, then you may be interested in
> >the following two pieces of information:
> >
> >1)
> >"Active Control of the Neutral Lumbopelvic Posture
> >A Comparison between Back Pain and Non Back Pain Subjects"
> >An abstract presented at The 3rd Interdisciplinary =
> >
> >World Congress on Low Back and Pelvic Pain
> >19-21 November 1998 Vienna, Austria. =3D
> >
> >Editors: A. Vleeming, V. Mooney, H. Tilscher
> >Authors: Christine Hamilton B. Phty, Carolyn Richardson
> >B Phty (PhD.) University of Queensland, Australia
> >2 pages
> >
> >2)
> >"Towards Introducing a New Device for Spinal Postural =
> >
> >Training for Back Pain: The Spinal Sensor=3D99 Real-time
> >Posture Trainer"
> >A report prepared as an interim research report from the
> >Spinal Pain Research Group in the Department of Physiotherapy,
> >The University of Queensland, Brisbane, Australia.
> >6 pages
> >
> >
> >Craig, if you're interested I can e-mail these to you
> >directly. If anyone else is interested, please let me know
> >and I'll forward them to you.
> >
> >Regards
> >Michael Carter
> >
> >Spinal Sensor Technologies
> >Real-time Posture Training Technology
> >Web site www.spinalsensor.com =3D
> >
> >E-mail [log in to unmask]
> >Direct line +61 7 5531 4728
> >Brisbane, Queensland
> >Australia
> >
> >*****************Dear Michael,*****************
>
> Sorry that this reply is very late, but could you send me the
> information above.
>
> Much appreciated.
>
> Martin Rabey
>
> >--------------------------------------
> >From: Craig Pittar <[log in to unmask]>
> >To: Internet Mail::[physio <[log in to unmask]>]
> >
> >Subject: strapping low backs
> >Date: 1/31/99 9:15 AM
> >
> >Dear List
> >
> >Is anyone aware of any current research that looks at the effectiveness
> >of strapping acute low backs. In the attempt to limit forward flexion,
> >and reduce the amount of times a day that person flex's into their
> >painful arc on forward flexion.
> >
> >Kind regards
> >
> >
> >craig
> >
> >--=PMail:=_0001@@xSyVBY0zaQ0D5o1eC2ua--
> >
> >
> >------------------------------
> >
> >Date: Mon, 1 Feb 1999 9:49:00
> >From: Michael Carter <[log in to unmask]>
> >To: [log in to unmask], [log in to unmask]
> >Subject: Re[2]: strapping low backs
> >Message-Id: <[log in to unmask]>
> >
> >
> >--=PMail:=_0004@@QRghYWT9F3Zs98Ad7QKx
> >Content-Type: text/plain
> >Content-Transfer-Encoding: quoted-printable
> >
> >Chauncey:
> >Do you have any more details on that article?
> >Issue? Author(s)?
> >Thanks
> >Michael
> >
> >Spinal Sensor Technologies
> >Real-time Posture Training Technology
> >Web site www.spinalsensor.com =
> >
> >E-mail [log in to unmask]
> >Direct line +61 7 5531 4728
> >Brisbane, Queensland
> >Australia
> >
> >=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
> >
> >From: Chauncey Farrell <[log in to unmask]>
> >To: Internet Mail::[[log in to unmask]]
> >
> >Subject: Re: strapping low backs
> >Date: 1/30/99 12:49 PM
> >
> >Craig:
> >I have not seen articles on strapping of the back but I have seen a
> recent
> >article that came out in the journal of SPINE where they found reduced
> >back pain in patients that they were unable to keep from flexing the
> first
> >two hours in the morning.
> >
> >Craig Pittar wrote:
> >
> >> Dear List
> >>
> >> Is anyone aware of any current research that looks at the
> effectiveness
> >> of strapping acute low backs. In the attempt to limit forward
> flexion,
> >> and reduce the amount of times a day that person flex's into their
> >> painful arc on forward flexion.
> >>
> >> Kind regards
> >>
> >> craig
> >
> >--=PMail:=_0004@@QRghYWT9F3Zs98Ad7QKx--
> >
> >
> >------------------------------
> >
> >Date: Sun, 31 Jan 1999 18:43:42 -0800
> >From: "Elma Bulalacao" <[log in to unmask]>
> >To: <[log in to unmask]>
> >Subject: Quit Physio
> >Message-Id: <[log in to unmask]>
> >
> >Quit Physio
> >
> >
> >
> >------------------------------
> >
>
> Get Your Private, Free Email at http://www.hotmail.com
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