Complex kinematics of the wrist? Child’s Play!

Jamie Bergner, OTD, OTR/L, CHT, COMTHave you ever wondered how the carpal bones and ligaments of the wrist can withstand so much force with daily activities? Consider what you might observe if you are on a playground! You might see children doing handstands, walking on their hands, seeing who can st

Clinical Commentary – Categories of Muscle Pain Part 1 Introduction

Valerie Phelps, PT ScD OCS FAAOMPT and Vicente Mauri-Stecca, PT ScD COMTMyofascial pain can be complicated to assess, however specific pain generator(s) can often be identified clinically. Classification according to specific characteristics facilitates the examination and interpretation process, t

The First Step in Dealing with the Difficult Patient

Communication. Conversation. We do it every day. It’s an integral part of the human experience. On the surface, it seems simple. So simple, in fact, that we don’t often actually think about it. But in reality, communication between two people is a very complex process.Let’s attempt to break it

Fibular Malalignment in Individuals with Chronic Ankle Instability

Kobayashi T, Suzuki E, Yamazaki N, et al. Fibular malalignment in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2014;44(11):872-878. Abstracted by: Rebecca Sherwin, PT, COMT, West Monroe, LA – Fellowship Candidate, IAOM-US Fellowship Program & Jean-Michel Brismée, PT, ScD,

CLINICAL PEARL Dizziness with Neck Pain

Becky Sherwin MPT, COMT The vast majority of my caseload consists of patients with spinal impairments, and most of these are patients with neck pain. Many of these people have been in motor vehicle accidents and have complaints of headaches and dizziness. Kristjansson states that “cervical induce

What’s wrong with this picture?

By Theresa Parry OTR MS CHT COMTThis is an example of a midcarpal joint dorsal intercalated segment instability (DISI). Note how the moon-shaped lunate in facing in a dorsal direction. Also, notice the arthritic changes taking place on the dorsal lip of the lunate from the malaligned loading of the