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Toni Talks about PT Today

Return to Manual Therapy... Not
by Toni Patt
This week a patient was referred to therapy because of neck pain. I quickly determined she had a mechanical derangement of her cervical spine. Something was locked in the upper cervical region that prevented her from rotating. Her complaints were inability Read More...
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Being Put on the Spot
by Toni Patt
I believe I've mentioned being a certified McKenzie therapist in my former (pre-neuro) life. I still use those skills, particularly when one of my horses needs some work. However, I generally don't talk about it. I like to avoid those "why aren't you Read More...
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Putting Up With Bad Behavior
by Toni Patt
Today was one of those days. There is a full moon. Healthcare workers often joke about the effects of the full moon on their patients. I believe there is something to that, which means my patients gets more of a workout than usual. I am used to brain-injured Read More...
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Very Acute Therapy
by Toni Patt
This week I found myself at an outpatient orthopedic clinic treating work-related injuries. The clinic was one of several in the area. They have agreements with many local industries to provide medical and therapy services to injured employees. The injured Read More...
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Respect for Clinical Judgment
by Toni Patt
Once in a while I work with patients who have a diagnosis other than stroke. Two or three weeks ago, I evaluated a young man who'd had a TBI and was in the ICU. I later re-evaluated him following transfer to the rehab unit. Last week his rehab doctor Read More...
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Return Demonstration
by Toni Patt
Physical therapists spend a lot of time teaching patients how to do things. We teach home programs. We teach precautions. We teach safety. We teach how to use devices. The list of things we teach is almost endless. And right after we teach it, we document Read More...
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The Dangers of Stopping Warfarin
by Toni Patt
Over the last few weeks, the stroke service has had a run of patients who have had strokes after stopping warfarin therapy. The reason was usually to have an outpatient surgical procedure. Because warfarin thins the blood the surgeons have the patient Read More...
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Therapeutic Hypocrisy
by Toni Patt
The annual Houston Marathon was a hot topic at last week's district TPTA meeting. Our leadership came under fire for providing free massages to the runners after completing the course. This practice has been going for several years and I have never supported Read More...
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