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And this was one-on-one care, not double booked every 30 or 45 minutes with patients doing machines, but one case every 15 to 20
minutes.
Necessity provided the insight with which to get results in spite of having to hustle. I had to be able to walk in,
quickly assess the patient, better the patient through my intervention, leave them with something of value that they couldn't get anywhere else
and move on to the next case and do it again.
This was not, "How ya' doing? Great. Go ahead and start your program." This was intervention. I had to
think and respond on the fly and get them well.
One day, I had a new patient who couldn't raise his arm for four months and sat on my table in agony. Four positive
impingement signs, weakness and pain with all resisted cuff testing, sleep disturbances....the works. I thought, "You're
screwed, man."
But a voice in my head reminded me of data that I had learned four years previously, and for no other good reason, I
went with it.
Twelve minutes later, the patient had full strength, no pain, full range of motion. He had a 77% improvement in his
SPADI (shoulder pain and disability index) score in that period of time, and he maintained a 50% score improvement three days later.
He made relatively quick gains and in a handful of sessions over a handful of weeks, he was fine.
Necessity. The mother of invention. The phenomenon that makes us do things we normally wouldn't do for
ourselves unless the situation was dire.
Fortunately, you don't have to be desperate to get help with solving shoulder problems.
It's as easy as clicking here.
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