Lisa is a massage therapist that has had 2 orthopedic consults. She states one wants to replace her joint and one wants to focus on the muscles. As part of my differential diagnosis, I performed some treatment during the evaluation to figure out if this is more muscular vs more joint related.

Franklin is an older gentleman with a very sedentary lifestyle that spends an extensive time in long sitting positions such as in a recliner with his feet up. He has developed a rounded thoracic spine which I like to call a turtle shell. He will have to make some lifestyle changes to get his pain under control.

Maria works from home and she has a multiple monitor set up. She recently started having symptoms of vertigo and so she started adjusting her ergonomics and taking breaks more often. Treating her positional vertigo helped with some of her symptoms, and treating her cervicogenic and facial muscle symptoms helped with her brain fog and heaviness sensation.

Misty has had several falls and now she has knee pain. The pain has affected the quality of her gait and she also has left hip flexor dysfunction which is implicated in the scenario.

Rayna enjoys reading with her tablet in her lap...she also enjoys sitting off center, in her recliner, when watching TV. Both of these activities seem to have led her to strain the left side of her neck and periscapular soft tissue.

Andrea comes to me for physical therapy for her knee pain after she experienced a fall. The knee itself seems fine, but she seems to have injured the soft tissues around her knee.

I treated Nadine for a finger contracture 2 years ago after a distal phalanx amputation due to melanoma under her finger nail. She has now returned and unfortunately her cancer has spread. What would be appropriate for her low back pain?

Diane is a returning patient for low back pain however she has recently developed a new symptom which is tremors when she is standing or walking. This is her biggest complaint. It seems that it was medication related.

Gloria has greater trochanter bursitis pain and pain at the ischial tuberosity. I don't know which came first, but she has developed some horrible compensatory biomechanics. I have to get her back on track.

Gayle has a history of chronic kidney disease (CKD) and she has been complaining of dizziness which improved after she restarted her sodium intake. She does have signs and symptoms of remnants of a peripheral vestibular disorder and possible CNS involvement.