New Episode of The Shawn Show: How to Choose a Health Care Practitioner (MT, MD, PT, DC)

Hello All,

Since I began practicing in ’00 I have made a concerted effort to understand why I practice and help clients understand why they want to come and see me. This is harder than one would think, people have been lead to believe if some one works in the Health Care profession they are able to help them.

In this video I discuss why it is important to make sure your why and Health Care Practitioners why need to be a good match. Just because they can fog a mirror and spit out a couple of anatomy terms doesn’t mean they are going to meet your needs and help achieve your goals.

Practice Makes Improvement 🙂

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Episode 4 of The Shawn Show: “Obama Care” is Good for Health Care

Hello All,

I told a client about this post earlier today, she was pretty surprised. This may be a surprise to many people who know me but I really believe that if I am seeing the changes as removed from “traditional health care” as I am, changes are coming. Check out the video to find out more.

Practice Makes Improvement 🙂

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Ballet Dancer, Knee Pain & Ankle Mobility

Hello All,

Working with young athletes/performers is a huge passion of mine, I love to help young people learn more about their bodies and how to care for themselves when injured. Every once in a while I have the great fortune to work with a dancer, I love working with them because of the time, effort and passion they have about their craft. Last week I worked with a High School Dancer who was having pain in her knee while in First Position  and 5th position (see pic).

When we talked about her history she told me about an ankle sprain she had before the knee pain surfaced (a big reason history is so important!). When I put here in Single Leg Stance on her R side the ankle looked ok, but her hips were showing some instability and collapsing on the R.

As a rule of thumb one of the first things I check with knee pain is the relationship between the popliteus, ankle and hips. We found her R ankle inversion to be inhibited by her R popliteus. Breaking this pattern allowed her to perform First Position with very little knee pain. We also found her hip R adduction to be inhibited by her R popliteus and this allowed her to get her L toes in line with her R heel with no pain.

Kids get injured the same as adults do often times the injury is allowed to linger affecting their performance and potentially causing other injuries to occur. I feel this is because parents, coaches, and adults don’t give them permission to talk about an injury or pass it off if they do. I’m glad this clients mom brought her in early on so we could get her back to pain free range of motion and some home work to help eliminate the dysfunctional pattern.

Practice Makes Improvement 🙂

ballet positions  pop adductors

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Follow Up To Scars, Hip Pain and Movement 

Hello All,

I had a follow up with my client I posted about in the previous post Scars, Hip Pain and Movement on Friday April 10th. Client said her hip pain had significantly improved from her last appointment to a 3 (on a scale of 1-10) from her previous 7-10 on a constant basis.

I checked the work we did in our previous session and it is holding very well. The scar on the top of her L foot is coming along well, it is becoming more uniform and showing less restriction with palpation.

One of the other things I noticed was a pretty big bunion on her R foot and while examining it she told me about a pretty bad dislocation of her 2nd toe, that info along with the desire to offer her more stability in her R abductors.

We found her R hip abductors, toe flexors and gait to be inhibited by her R greater toe and the bunion.

At the end of the session she reported being able to walk with no pain and that it was the first time in 2 years she was able to do this.

This is why I constantly strive to improve my work and craft. Helping people regain movement allowing them to become more active and confident they will be able to increase their activity level makes me very excited and satisfied.

Practice Makes Improvement 🙂

bunion  Hip abductorstoe flexion

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Scars, Hip Pain & Movement 

Hello All,

On Thursday 4-2-15 I worked with a woman who was having hip pain while walking. Another NKT® practitioner brought her in as she thought this case was a little higher than her current skill sets. Cases like this when I get to work with another NKTer are really fun for me. We get to discuss the case and collaborate on what are progress will be. 

During our consult/assessment we found that client has had 4 surgeries. Two on her ankle due to an ankle dislocation and two on her Pelvic Floor, an episiotomy and a procedure her a fractured tail bone. When there are scars involved I start there as often times scars rule the road of dysfunction. 

As I watched the client walk it was very obvious she had a compensation pattern that went from her L ankle, R hip and L shoulder, along with some core instability. As she walked she voiced feeling unstable and pain in her R hip. 

We found using the NKT® protocol she had a pelvic floor to pelvic floor pattern due to the episiotomy. As we cleared this pattern we could see the core instability improve greatly but pain in hip was still present. We then checked her L ankle and found her L gastroc inhibited by the scar on top of her L ankle. This pattern took a while to clear but as we did my client was amazed that she was now able to point her foot, something she has not been able to do since her surgery.

Once we were able to get the work to hold on the table we had her get up to check it. She had much less pain in her right hip and by the end of the session she had no pain walking and her gait improved greatly. This was a great example of how scars can contribute greatly to dysfunction and cause pain. 

Practice Makes Improvement 🙂  

   

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Shoulder Injury, Softball Players & Rest

Monday I had a new client come in; she is 12 years old, has an ongoing pain in her R should and plays for a regionally competitive travel softball team. The fact she plays for a travel softball team is a pretty important component, that tells me how many reps she is getting in during the year and how much pressure she plays with. She took off most of the fall from pitching hoping the rest would help her shoulder improve, unfortunately it didn’t. I talk about why rest doesn’t help athletes with repetitive use injuries in my post on Rest earlier this week.

When I had her go through her pitching motion she had pain around her clavicle and down into her arm pit. She wasn’t able to extend her arm when it was over her head and was not able to perform her windmill motion with out pain with out pain on a scale of 1-10 at 7.

GIF-jill-change

My first bench mark was to get her to have little to no pain with arm fully extended over her head. While watching her and listening to her symptoms I thought her serratus along with pec minor were hyper tonic thus limiting her range of motion. During during palpation we found them to be normal and her levator scapula and rhomboids to be hypertonic and painful to the touch. We found her R low trap to be inhbited by her R rhomboids and her R serratus anterior inhibited by her R levator scap.

It took us a little while to get proper release so that we hit my first bench mark of full elbow extension with arm over head, but we got there with pain at a 2. During her next session I hope to be able to tackle the rest of her motion and get it much smoother. She is going to practice this week and report back what she feels while pitching.

Practice Makes Improvement 🙂

back muscles    serratus anterior

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The Shawn Show Episode 2: Rest Good or Bad for Injuries?

Hello All,

Here is the latest episode of The Shawn Show. In it I discuss when resting helps and when it doesn’t. Hope you enjoy!

Practice Makes Improvement 🙂

 

 

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