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Iontophoresis for muscle spasm s/p discectomy?
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Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 3:54:00 AM
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ysumpt2006
Posts: 114
Joined: March 31, 2005
From: Youngstown, Ohio
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anyone know of any evidence of this actually working? I have a high profile patient that was prescribed this modality after discectomy.
she is the wife of the president of the hospital I work for and asked her MD to do this since it helped with her husband in PT.
I've never used it for this purpose and couldn't find any research to endorse or refute the use.
Anyone?
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Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 5:10:00 AM
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PTupdate.com
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From: Pittsburgh, PA USA
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Nope, can't say I have ever read anything solid for that particular purpose, but why not give a try? You may want to dig into this reference just as a justification for the attempt with this treatment. Remember, it's yo bosses' wifey!
Hasson SM, Wible CL, Reich M, et al: Dexamethasone iontophoresis: effect on delayed muscle soreness and muscle function. Can J Sport Sci 1992 Mar; 17(1): 8-13[Medline].
John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 6:02:00 AM
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ysumpt2006
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From: Youngstown, Ohio
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Thanks for the reference John. I have used it for 2 treatment sessions so far, but it hasn't affected the tightness. She even called the nurse to make sure I was doing it correctly as I let her know I had never used it for her symptoms (and explained why her husband may have needed it for his tendinitis).
We'll see what happens with it.
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 9:16:00 AM
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USAPT
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she called the nurse?? Are you kidding me.
Maybe my pts should call their NCMs to make sure I'm doing my mobs correctly:)
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Jason, PT
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 9:43:00 AM
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ysumpt2006
Posts: 114
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From: Youngstown, Ohio
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Nope, not kidding.
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Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 25, 2007 5:24:00 PM
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rwillcott
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From: Canada
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Why not explain to her that in your professional opinion iontophoresis is not effective for the treatment of back pain. Explain to her that their are more effective treatments that you have found more helpful. Maybe both her and her husband will appreciate and respect your honest opinion.
Rob
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 26, 2007 6:19:00 AM
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ysumpt2006
Posts: 114
Joined: March 31, 2005
From: Youngstown, Ohio
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Already went that route, too. I have her doing stretches, stengthening, stabilization, etc.
She's pretty gung ho--she's going skiing this weekend (5 weeks post surgery) and is completely weak in the "core" muscles. I advised against doing too much, so we'll see.
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 27, 2007 5:12:00 PM
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ehanso
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From: Minnesota
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I am sure you have already done this but be sure to document that the pt is going skiing against your advice. Always have to CYA.
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Re: Iontophoresis for muscle spasm s/p discectomy? - January 28, 2007 3:02:00 AM
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jma
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Wow!, the patient is going skiing and has weak core muscles?! Yes, absolutely agree with the previous post. It will be very surprising for me to see the same patient, with the same level of pain, that they came in with initially after the trip.
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Re: Iontophoresis for muscle spasm s/p discectomy? - February 14, 2007 8:29:00 AM
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ptdan23
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From: Orlando, FL
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Ken...whatever ended up happening with this patient? Did she end up going skiing?
Dan
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Re: Iontophoresis for muscle spasm s/p discectomy? - February 19, 2007 5:52:00 PM
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Mrxmixer
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Sorry I missed your post earlier, but I have seen baclofen and magnesium sulfate used effectively with ionto and muscle spasms.
feel free to contact me to discuss more in depth.
g_vance@mindspring.com
Thanks
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Re: Iontophoresis for muscle spasm s/p discectomy? - February 20, 2007 6:15:00 AM
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ysumpt2006
Posts: 114
Joined: March 31, 2005
From: Youngstown, Ohio
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Thanks.
Yeah, she went skiing, but didn't do her exercises as I had hoped. Her only complaint now is continued tightness in her low back area (paraspinals) around the incision. She has "loosened up" a bit as she can not bend and touch the floor, but she states it doesn't "feel right". Still some palpable tightness, but overall better.
She goes to see the referring surgeon on Monday.
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Iontophoresis for muscle spasm s/p discectomy? - February 20, 2007 8:16:00 AM
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ehanso
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From: Minnesota
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This is preaching to the choir, but be sure and send the MD a note including her skiing trip.
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Re: Iontophoresis for muscle spasm s/p discectomy? - February 20, 2007 8:17:00 AM
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ehanso
Posts: 355
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From: Minnesota
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Mrxmixer, Can you provide a link or resource for using those med with ionto. Thanks
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