Ep 152: ​​Why Has My Patient Stopped Improving?

In this episode, Erica discusses the fine points of what to do when your patient stops improving. AKA a plateau.

Problem-solving through a patient plateau requires sound clinical reasoning and a reflection back to the patient's story. Looking at the injury and movement history-there can be a clue there. Change their COM and reassess another movement pattern.

Listen in as Erica gives you the steps to take when this happens to you. A case example is also presented to illustrate the point. Ultimately, challenging the human movement system in different ways along with an objective look at the patient's narrative will give you your answer.

A glance at this episode:

• [2:15] Going back to the patient's story

• [4:06] Reassess another movement pattern

• [5:50] Why another assessment tool is crucial

• [7:45] When to problem solve through a plateau

• [10:02] The first injury sets them up and their movement history keeps them there

• [12:01] How to assess center of mass

• [13:52] Training the center of mass in a functional movement pattern

• [15:16] Why the knee mattered

Related links:

• Tough To Treat Website

• Erica's Course: Decoding the Complex Patient

• Susan's Pelvic Health Education Subscription

• Access the Transcript