In this episode, Erica throws out some clinical gems when it comes to clinical reasoning through these scenarios.

What do you do when your patient says, "I am 85% better but I am still getting (insert symptom) when I do (insert activity)." or " I am so much better but my foot hurts on and off when I still sit at my desk".

The key is "what does my patient need at this point in time?"

Using 2 examples from her patient caseload, Erica discusses how changing the activity and the environment may be the last piece of the clinical puzzle.

Erica also discusses the concept of "centering". If someone lives on their left side, as was the case with these 2 patients, how can you use this concept to give them more options for loading to the right?

We need choices for movement- loading one side of your body for long periods takes away those choices and limits our options. This MUST be trained for your patient to have success.

A glance at this episode:

• [2:05] Introduction to patient's history

• [5:06] Advanced clinical reasoning

• [7:24] Changing input into the nervous system

• [9:48] How can you change the environment to suit your patient

• [11:30] Example of a patient with lower back pain

• [13:43] Do you need to treat the right knee and foot

• [15:55] Centering exercises for strength training

• [18:10] Kneeling strength training and centering

Related links:

• Tough To Treat Website

• Erica's Course: Decoding the Complex Patient

• Susan's Pelvic Health Education Subscription

• Access the Transcript