electrical stimulation or strengthening for neurologically compromise muscle

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electrical stimulation or strengthening for neurologically compromise muscle

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electrical stimulation or strengthening for neurologica... - February 28, 2008 7:11:57 PM

Kaden

Posts: 346
Joined: June 17, 2007
Status: offline

When do you consider electrical stimulation or PRE exercises for neurologically weakened muscles secondary to a disc herniation.

Do you start this immediatley or wait to see how lumbar treatment resolves myotomal loss. FES versus PRE's - better results with one or the other

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RE: electrical stimulation or strengthening for neurolo... - February 28, 2008 9:28:38 PM

PTupdate.com

Posts: 1490
Joined: October 8, 2001
From: Pittsburgh, PA USA
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I do both....not overloading at first (usually just isometrics) and then progressing with PRE's, and using ES when tolerated. I find this works much better, with less residual weakness, than starting on those who have atrophied and weakened over months before seeing me

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to Kaden)

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RE: electrical stimulation or strengthening for neurolo... - February 29, 2008 1:48:36 AM

Kaden

Posts: 346
Joined: June 17, 2007
Status: offline

John,

How long do you give them to regain strength with focus on treating LS before starting isos or e-stim.

(in reply to Kaden)

Post #: 3

RE: electrical stimulation or strengthening for neurolo... - March 3, 2008 5:11:40 AM

bbronk

Posts: 26
Joined: March 3, 2008
From: CA
Status: offline

never.

the disc is not the source of the problem. the symptoms are from a spasm pattern that is so easily missed and most often not treated correctly.

come out and get a lesson or two, I'll have you going down an entirely new and better path. sure to blow your mind. I share my office w/ a pt, she'll tell you.

see ****.com

(in reply to Kaden)

Post #: 4

RE: electrical stimulation or strengthening for neurolo... - March 3, 2008 8:59:46 AM

PTupdate.com

Posts: 1490
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline

Kaden: It depends on their symptoms. Those with signs of severe HNP or neural encroachment, say in the neck, to the point where they come in with their chin on their chest and inability to lie prone won't get started on these until they can at least get some pain relief. Those with more minor symptoms, often not even realizing they had myotomal weakness, get started right out of the gate.

bbronk: Please take advantage of this forum to share with us your theory. Your site notes that you are "World’s foremost authority on back pain". So, let's see the evidence

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to bbronk)

Post #: 5

RE: electrical stimulation or strengthening for neurolo... - March 3, 2008 3:17:09 PM

Sebastian Asselbergs

Posts: 1227
Joined: September 29, 1999
From: Barrie, Canada
Status: offline

Duffy - you have to go out there and see him at work. That is the only way to believe brother!

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Mundi vult decipi

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Post #: 6

RE: electrical stimulation or strengthening for neurolo... - March 3, 2008 5:49:34 PM

SJBird55

Posts: 2467
Joined: May 10, 2004
From: Michigan
Status: offline

Duffy... do you do a little rubbing on the side?