Shoulders Up

Shoulders Up

By Dr Jimmy Pang DPTMedicineHealth & Fitness
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Shoulders Up episodes

  • Facial Pain, Misdiagnosis, and Hope with the Facial Pain Association

    The conversation between Jimmy and Melissa Baumbick covers the topic of facial pain disorders, their impact, and the advocacy work of the Facial Pain Association. Melissa provides insights into the nature of facial pain disorders, their prevalence, challenges in diagnosis, and the mission of the Facial Pain Association.

    Takeaways

    • Facial pain disorders are often misdiagnosed and underreported, leading to a lack of awareness and access to appropriate care.
    • The Facial Pain Association is dedicated to serving individuals affected by neuropathic facial pain, providing educational resources, support, and advocacy for better care and access to treatment.

    Chapters

    • 00:00 Understanding Facial Pain Disorders
    • 06:10 Mission of the Facial Pain Association
    • 11:30 Challenges and Impact of Facial Pain Disorders
    • 22:05 Hope and Support for Facial Pain Disorders

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    Facial Pain Association:
    https://www.facepain.org/
    https://www.instagram.com/facialpainassoc/

    29 min
  • Why Does Costco Make Me Dizzy? 4 Reasons Beyond Visual Dependence

    The conversation delves into the understanding of chronic dizziness, the complexity of vertigo diagnosis, and the impact of visual vertigo on individuals. It also explores the diagnosis and impact of 3PD, the role of neuroplasticity in vestibular therapy, and the comprehensive assessment for visual dependence.

    Takeaways

    • Vertigo is a symptom, not a diagnosis
    • Visual dependence is a complex issue that requires a comprehensive assessment

    Chapters

    • 00:00 Understanding Chronic Dizziness
    • 07:38 Understanding Three P D
    • 20:32 Neuroplasticity and Vestibular Therapy
    • 32:21 Visual Dependence and Anxiety

    instagram.com/pangphysicaltherapy

    www.pangphysicaltherapy.com

    25 min
  • 4 Stages of Migraine: A Modern Understanding of Headache Disorders

    Dr. Amal Starling discusses the differentiation between primary and secondary headache disorders, the diagnosis and characteristics of migraine, comorbidities and central sensitization, and the modern understanding of migraine pathophysiology and treatment. The conversation covers the revolutionary impact of CGRP inhibitors on migraine treatment, the challenges and future of personalized medicine for migraine, and a case study on managing migraine in perimenopausal women. It also delves into treatment options and the importance of patient education.

    Takeaways

    • Headache as a symptom, not a diagnosis
    • Primary vs. secondary headache disorders CGRP inhibitors revolutionized migraine treatment
    • Personalized medicine for migraine is the future

    Chapters

    • 00:00 Understanding Headache Disorders
    • 07:11 Migraine: Diagnosis and Characteristics
    • 15:30 Comorbidities and Central Sensitization
    • 31:38 CGRP Inhibitors: A Paradigm Shift in Migraine Treatment
    • 38:16 Identifying Effective Therapies for Migraine
    • 44:23 Case Study: Managing Migraine in Perimenopausal Women
    • 57:09 Treatment Options and Patient Education

    Pang PT

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    American Migraine Foundation:

    https://americanmigrainefoundation.org/

    Alliance for Headache Disorders Advocacy Group

    https://allianceforheadacheadvocacy.org/

    57 min
  • Still Dizzy But Tests Are Normal? 3 Reasons No One Told You

    The conversation delves into the complexities of vestibular disorders, highlighting the frustration of patients with diverse symptoms. It explores the limitations of imaging and biomarkers in diagnosing these disorders and emphasizes the value of functional tests and the therapist's perspective in providing clinical insights.

    Takeaways

    • Vestibular disorders present with diverse symptoms
    • Functional tests provide valuable clinical insights
    • Physicians and therapists have different perspectives on diagnosis and treatment

    Chapters

    • 00:00 Functional Tests and Therapist's Perspective

    instagram.com/pangphysicaltherapy

    pangphysicaltherapy.com

    33 min
  • Rare Disorders Spotlight: Cyclic Vomiting Syndrome

    The conversation delves into the understanding of Cyclic Vomiting Syndrome (CVS), the challenges faced by patients and families, and the need for improved healthcare support and awareness. It also highlights recent developments and the hope for a better future for those affected by CVS.

    Takeaways

    • Cyclic Vomiting Syndrome (CVS) is a debilitating disorder with intense nausea and vomiting, impacting both children and adults.
    • The healthcare system needs to improve its understanding and treatment of CVS, as well as provide better support for families dealing with the condition.

    Chapters

    • 00:00 Recent Developments and Hope for the Future
    • 31:12 Raising Awareness and Supporting Families

    Cyclical Vomiting Syndrome Association:

    http://cvsaonline.org/

    https://www.instagram.com/cyclicvomitingsyndrome

    Pang PT:

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    28 min
  • 5 Weird Symptoms of Vestibular Migraine & What To Do About It

    Disclaimer: This episode is for educational purposes only and not medical advice. Please consult a healthcare professional.

    The podcast episode delves into the complexities of vestibular migraine, highlighting its unusual symptoms and the challenges in diagnosis. It emphasizes the neurological nature of migraine and the need for comprehensive management strategies.

    Takeaways

    • Vestibular migraine presents a wide range of unusual symptoms beyond headaches.
    • Understanding migraine as a neurological disorder is crucial for effective diagnosis and management.

    Chapters

    • 00:00 Understanding Vestibular Migraine
    • 08:15 Brain Fog and Cognitive Difficulties
    • 15:12 Rare Symptoms: Derealization and Alice in Wonderland Syndrome

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    15 min
  • Rare Disorders Spotlight: Dravet Syndrome

    The conversation delves into the rare disorder known as Dravet Syndrome, its impact on individuals and families, the need for healthcare provider awareness, and the role of rehab therapists in managing the disorder. It also highlights the importance of spreading awareness and supporting research efforts for Dravet Syndrome.

    Takeaways

    • Dravet Syndrome: A rare form of intractable epilepsy that begins in infancy and has a significant impact on individuals and their families.
    • Healthcare Awareness: Healthcare providers need to be educated about rare disorders like Dravet Syndrome to provide better care and support.

    Chapters

    • 00:00 Understanding Dravet Syndrome
    • 06:51 Healthcare Provider Awareness
    • 17:53 Underserved Population
    • 25:02 Role of Rehab Therapists
    • 31:56 Treatment and Management

    Jimmy Pang Links:

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    Jade Wong Links

    https://www.reachbeyondtherapy.com/

    instagram.com/reachbeyondtherapy

    Dravet Syndrome Foundation:

    https://dravetfoundation.org/

    32 min
  • Unique Challenges in Pediatric Migraine

    The podcast episode features Dr. Jasmine Forte, a pediatric neurologist, discussing the prevalence and unique challenges of pediatric migraine and headache disorders. The conversation delves into the presentation of migraine in children, case studies, interdisciplinary management, healthcare system improvement, and hopeful advances in child neurology and migraine treatment.

    Takeaways

    • Pediatric migraine is a common and underdiagnosed condition in children
    • Comprehensive management plans are crucial for treating pediatric migraine

    Chapters

    • 00:00 Introduction to Pediatric Migraine and Headache Disorders
    • 09:43 Case Studies and Comprehensive Treatment Plans
    • 18:02 Interdisciplinary Management and Healthcare System Improvement
    • 25:19 Hopeful Advances in Child Neurology and Migraine Treatment

    Dr. Jasmine Forte:
    https://www.instagram.com/jastheneurodoc/

    https://www.tiktok.com/@jastheneurodoc

    Dr. Jimmy Pang PT

    www.pangphysicaltherapy.com

    https://www.instagram.com/pangphysicaltherapy

    26 min
  • Occupational Therapy Approaches to Nervous System Regulation in Migraine

    The conversation delves into the role of occupational therapy in migraine care, emphasizing the holistic approach and the interplay between sensory sensitivities and migraine disorders. It also explores the challenges of migraine management, personal experiences with migraine, the migraine threshold theory, and conservative management. Additionally, it discusses sensory strategies for nervous system regulation.

    Takeaways

    • Occupational therapy focuses on holistic care and addresses the interplay between sensory sensitivities and migraine disorders.
    • Migraine management involves a combination of medication, lifestyle changes, and sensory strategies for nervous system regulation.

    Chapters

    • 00:00 Introduction to Occupational Therapy and Migraine Care
    • 07:02 Challenges in Migraine Management
    • 18:12 Migraine Threshold Theory and Conservative Management
    • 28:07 Sensory Strategies for Nervous System Regulation

    Pang PT Website

    @pangphysicaltherapy

    Migraine Therapist Website

    @migrainetherapist

    31 min
  • Modern Approaches to PPPD: Addressing the Otoliths

    The conversation covers the relationship between 3PD and otoliths, the challenges in diagnosing and treating 3PD, the impact of otolith dysfunction on symptoms, and the importance of patient education and sensory reweighting in treatment. It also highlights the need for comprehensive otolith assessment and the challenges in healthcare and clinical practice. NeuroDizzyDuo's work can be supported through their Instagram account and Reactive Education website.

    Takeaways

    • 3PD and otoliths are related
    • Understanding the diagnosis and treatment of 3PD is crucial

    Chapters

    • 00:00 Introduction to 3PD and Otoliths
    • 07:00 Visual Motion Hypersensitivity
    • 12:08 Otolith Impairment and Subtypes
    • 17:43 Clinical Tools and Treatment
    • 23:17 Autonomic Nervous System and Vestibular Connection
    • 28:39 Patient Education and Expectations
    • 36:23 Healthcare Challenges and Flexibility

    www.pangphysicaltherapy.com

    instagram.com/pangphysicaltherapy

    Re+active Education Positive Spin Series

    @neuro_dizzy_duo

    44 min

About Shoulders Up

From the publisher's feed

Shoulders Up is a podcast focused on complex headaches and dizziness, especially cases where diagnostic lines start to blur. Care is often siloed into different specialities when a true bird's eye…