Shoulders Up

The conversation explores the intersection of brain injury and FND, discussing the rarity of the combination, early signs of FND in concussion patients, and the evaluative process for treatment. It also delves into a specific case study, highlighting the patient's symptoms, examination, and treatment techniques.

Takeaways

• Brain injury and FND can present as a rare combination in patients.
• Early signs of FND in concussion patients include sensory impairments, autonomic nervous system disruption, and motion sensitivity.
• The evaluative process for FND treatment involves patient report, sensory system screening, vestibular testing, and cognitive assessments.

Chapters

• 00:00 Evaluative Process for FND Treatment
• 16:24 Case Study: Patient Examination and Treatment Techniques

Pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

instagram.com/genevieve_lillie

In this episode, Dr. Jimmy Pang discusses the limitations of the Epley maneuver in treating vertigo and dizziness. He emphasizes the need for a more comprehensive understanding of vestibular disorders and the importance of accurate diagnosis and treatment.

Takeaways

• Epley maneuver limitations
• Comprehensive understanding of vestibular disorders

Chapters

• 00:00 The Limitations of the Epley Maneuver
• 05:13 Understanding Vertigo and Vestibular Disorders
• 14:06 Classification of Vestibular Disorders
• 19:15 Signs of Non-BPPV Vestibular Disorders
• 28:56 Additional Symptoms and Treatment Considerations

Accompanying Blog Post

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The conversation delves into the world of headache advocacy, highlighting the impact of personal stories, challenges, and the progress made in migraine management. It emphasizes the importance of legislation and policy in addressing the unique challenges faced by individuals with headache disorders. The discussion also encourages active involvement in advocacy efforts and provides insights into the optimism and hope for the future of headache advocacy.

Takeaways

• Headache advocacy and its impact
• The importance of personal stories in advocacy

Chapters

• 00:00 Introduction to Headache Advocacy
• 06:12 Personal Experience with Migraine
• 11:43 Genetic and Gender Disparities in Migraine
• 19:08 Progress in Migraine Management
• 30:28 Ways to Get Involved in Headache Advocacy

https://allianceforheadacheadvocacy.org/

instagram.com/allianceforheadacheadvocacy

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Dr. Corey Hillman, a physical therapist specializing in craniofacial therapy, discusses the link between jaw dysfunction and headaches, the challenges in treating complex cases, the importance of lifestyle factors and conservative relief, evaluation and tracking progress in TMD, collaboration with dentists, and the complexity of facial pain disorders. He shares a clinical case and treatment techniques, emphasizing the effectiveness of conservative care for complex headache cases.

Takeaways

• Jaw dysfunction and headaches are closely linked
• Conservative care can be effective for complex headache cases

Chapters

• 00:00 Introduction to Dr. Corey Hillman
• 05:52 Challenges in Treating Complex Cases
• 11:30 Evaluation and Tracking Progress in TMD
• 20:22 Clinical Case and Treatment Techniques
• 26:17 Complexity of Facial Pain Disorders

Dr. Corey Hillman
https://www.gborophysio.com/

instagram.com/gate_city_physio

Dr. Jimmy Pang

https://pangphysicaltherapy.com/

instagram.com/pangphysicaltherapy

The conversation covers the inspiration behind Haven Headache, challenges in accessing headache care, advantages of private practice, designing the ideal clinic, improving access to care and patient experience, migraine care and treatment journey, pediatric migraine care and future plans, and misconceptions and stigma surrounding migraine. The takeaways include the concept of a virtual first practice and the challenges in accessing headache care.

Takeaways

• Virtual first practice
• Challenges in accessing headache care

Chapters

• 00:00 Introduction and Meeting at Headache on the Hill
• 08:04 Designing the Ideal Clinic
• 13:04 Migraine Care and Treatment Journey
• 20:01 Pediatric Migraine Care and Future Plans

Haven Headache & Migraine Center
@havenheadache

Izac Ross socials: @gaywithaheadache

Pang Physical Therapy
@pangphysicaltherapy

The conversation delves into the journey of product development, from the invention of adjustable walker weights to the process of patenting, marketing, and sales efforts. It also explores the challenges and successes faced, as well as the mindset shift required to expand beyond clinical care. The episode concludes with a focus on promoting the product and seeking support from fellow therapists.

Takeaways

• Product Invention
• Product Development

Chapters

• 00:00 Introduction to Product Development
• 06:07 The Process of Inventing and Patenting
• 15:49 Expanding Beyond Clinical Care
  
  Adjustable Walker Weights
  Fali Rehab Instagram
  
  Pang Physical Therapy
  Pang PT Instagram

Our guest Dr. Becca Timko, a functional neurologist, discusses the diagnosis and treatment of POTS and dysautonomia, sharing insights into patient presentations, diagnostic criteria, and treatment techniques. She also highlights the impact of these conditions on patients' daily lives and the importance of early intervention post-concussion.

Takeaways

• POTS and dysautonomia are complex neurological conditions that require a comprehensive approach to diagnosis and treatment.
• Early intervention post-concussion is crucial in preventing the development of POTS and dysautonomia.
• Vestibular and ocular motor rehab play a significant role in the treatment of POTS and dysautonomia.

Find Becca Timko online at:

https://www.claritybrainandbody.com/
instagram.com/claritybrainandbodyclinic.com

Hosted by:

www.pangphysicaltherapy.com
instagram.com/pangphysicaltherapy

The conversation delves into the impact of headache disorders on the population, highlighting the need for better representation and policy. It explores the economic and social implications, discusses the Headache Act, Connect for Health Act, and the Safe Step Act, and concludes with a call to action for advocacy and support.

Takeaways

• Headache disorders impact a significant portion of the population
• The need for better headache policy and representation is crucial

Get Involved at The Alliance for Headache Disorders Advocacy

Learn more at:
www.pangphysicaltherapy.com
instagram.com/pangphysicaltherapy

In this episode of the Shoulders Up podcast, Dr. Jimmy Pang discusses the Epley maneuver, a common treatment for BPPV (Benign Paroxysmal Positional Vertigo). He emphasizes the importance of accurate diagnosis, as many patients misattribute their vertigo to BPPV when it may be caused by other vestibular disorders. Dr. Pang explains the mechanics of BPPV, the treatment process, and the challenges faced when the Epley maneuver is not effective. He also highlights the need for professional evaluation and treatment for various vestibular disorders to avoid misdiagnosis and ineffective self-treatment.

Chapters

00:00 Introduction to the Epley Maneuver

01:19 Understanding BPPV and Its Implications

03:20 The Challenges of Misdiagnosis in Vertigo

06:53 Mechanics of BPPV and Treatment Approaches

11:35 Common Pitfalls in Epley Maneuver Application

14:23 Exploring Other Vestibular Disorders

Learn more at:

Dr. Jimmy Pang's Website
Instagram: @pangphysicaltherapy

In this episode of the Shoulders Up podcast, Jimmy dives deep into the complexities of Medicare as it relates to physical therapy. He discusses the misconceptions surrounding Medicare, the differences between covered and uncovered services, and the implications for both cash-based and insurance-based providers.

The conversation also explores the opportunities available for therapists willing to navigate the Medicare landscape. Jimmy emphasizes the importance of understanding Medicare policies to better serve patients, especially seniors who often require physical therapy services.

Documents:
CMS Medicare Benefit Policy Manual Chapter 15

CGS Local Coverage Determination

Aetna Medicare Advantage Clinical Policy Bulletin

Anthony Maritato Learn Medicare Billing Course

Socials:

www.pangphysicaltherapy.com

Instagram: @pangphysicaltherapy