Archive for August, 2008

Do you know the symptoms of mild knee arthritis and how those symptoms translate to x-ray studies?

As many of you know I am an avid golfer and a former army paratrooper. Between the acl rupture and meniscal damage sustained during my army career and the wear and tear on the right knee from my quest to over take Tiger’s number 1 ranking, (I dont think Tiger has much to worry about), [...]

Post Rehab Tip #14 – When do I use McKenzie or back extension exercises?

McKenzie or back extension exercises are best used with clients diagnosed with lumbar disc herniation. The goal of McKenzie exercise is to centralize radiating pain into the low back and then eliminate the pain. In recent years I have noted the shotgun use of McKenzie exercise on all lumbar post rehab clients. The McKenzie exercise [...]

Post Rehab Referrals – How do I contact physical therapists, physicians and chiropractors?

The lifeblood of any post rehab or medical exercise practice is developing referral relationships with local medical professionals. Approaching physical therapists, chiropractors and/or physicians requires an organized process as well as understanding the needs of these referral sources. You must develop a post rehab/medical exercise marketing package and presentation to maximize your chances of [...]

I referred my client to a physician but he never came back. How do I get my client back?

In an earlier blog post I discussed a problem many post rehab professionals encounter, the loss of a client when you refer the client to a medical professional for an evaluation. Here are three strategies you can use to prevent the loss of your client.
1) Send a letter of introduction to the medical professional. [...]

Post Rehab Practice Builder…Developing an Affiliate Program

Have you heard of affiliate program many Internet marketers use to promote their products and skyrocket their revenue. Well David Gilks, MEPD owner of Core Essentials of Naniamo, BC developed his own affiliate program to market businesses owned by clients that use his studio and post rehab training services marketing his business to potential new [...]

When I make a referral to a medical professional my client never comes back, what do I do?

I am a strong advocate for referring clients in your post rehab practice to a medical professional for evaluation if you encounter a situation beyond your scope of practice. But more post rehab professionals are noting the complete loss of the client referred. The medical professional may advise the client simply to discontinue [...]

When do I begin exercise after a cortisone injection?

The post rehab professional is often faced with managing the post rehab client after a cortisone injection. I just got back from teaching our first post rehab skills workshop. During one of the workshop breaks the participants asked when is it safe to begin exercise after cortisone injection. First, understand cortisone injections [...]

Post Rehab Tip #13 – What documents do I need for insurance reimbursement?

When seeking insurance reimbursement for post rehab services contact the client’s insurance claims adjuster. You will need the following documents when you make the contact:
a. Signed post rehab referral for the client’s physician
b. Post Rehab Program Goals (functionally-based)
c. Post Rehab Program Design (include duration, frequency & [...]

3 Keys to Managing Post Rehab Bicipital Tendinitis

Tendinitis, regardless of the region affected, occurs often with athletes. Managing the bicipital tendinitis client is challenging but if following the “3 Keys” you will see a positive functional outcome. The 3 keys are:
1. Eliminate bicep activities until receiving approval from physician or therapist.
2. Strengthen the rotator [...]

3 Keys to Managing the Post Rehab LCL Sprain

We spoke about managing the MCL post rehab client and now we will discuss managing the LCL post rehab client. Some of the keys are same for the MCL but there is one important distinction. The 3 keys are:
1) Limit knee flexion to less than 90 degrees.
2) Strengthen the quadriceps and hamstrings.
3) [...]