How I Best Serve My Clients!

How I Best Serve My Clients at Range of Motion Physical Therapy.

As it is the start of a new year I like to ask myself “What do I do differently now than 1 year ago?” If the answer to that is nothing, I feel I am doing a disservice to myself and my clients. When I asked myself that question recently, I am happy to say there were a number of areas I have changed or up skilled in how I treat my clients, below are a few examples: My exercise selection for client rehabilitation, regardless of whether I am treating a sports injury or a mobility issue. I have looked to select the most effective and suitable exercise for the clients injury and capability. I try to avoid loading to many exercises on clients and rather look at the number of reps and sets being done, to ensure the exercises are making a positive impact on the client’s injury. My treatment protocol and technique selection, in the past couple of years I have attended a number of courses on joint manipulations, ranging from high velocity Grade 5 manipulations to low amplitude manipulations. By continually learning and doing courses, I have more flexibility to choose from soft tissue work, muscle release, manipulations or a combination of all when treating clients. This lets me tailor my treatments when working with a wide range of the population. Serving my clients better, I am happy to say I regularly research different treatment techniques and the best exercises for certain injuries. I keep myself up to date on new advances in various areas by following professional blogs, reading books and articles from different fields, such as strength & conditioning and personal training. As a Physical Therapist I work with a wide range of clients, resulting in a wide range of issues such as sports injuries, post surgical rehabilitation, acute injuries and repetitive strain issues from active daily living. With this in mind it is important to self assess my treatments and skills and look to stay in touch with new research, learning and offer my clients the best possible treatment I can provide.

Whiplash and Neck Pain

What is Whiplash?

Whiplash is a neck injury that can occur during a rear end car accident or during contact sports such as rugby. Whiplash and neck pain occurs when your head suddenly moves backward and then forward. These extreme motions push your neck muscles and ligaments beyond their normal range of motion.

Whiplash injuries can be mild or severe. Treatment typically begins with over-the-counter pain relievers and ice applied to the painful neck muscles. If pain persists, prescription medications and physical therapy may be helpful. Most people recover from whiplash in just a few weeks, but some people may develop chronic pain after a whiplash injury.

What Are the Symptoms of Whiplash?

Symptoms of whiplash may be delayed for 24 hours or more after the initial trauma. However, people who experience whiplash may develop one or more of the following symptoms, usually within the first few days after the injury.

Neck pain and stiffness
Pain in the shoulder or between the shoulder blades
Low back pain
Pain or numbness in the arm and/or hand
Ringing in the ears or blurred vision
Difficulty concentrating or remembering
Irritability, sleep disturbances, fatigue
In most cases, whiplash injuries are classified as soft tissue injuries, with structures such as the disks, muscles and ligaments being damaged. These structures cannot be seen on standard X-rays, specialised imaging tests, such as CT scans or (MRI) may be required to diagnose whiplash or rule out any other possible causes. However should you have any of the above symptoms following an accident, seek medical help.

How Is Whiplash Treated?

Many people with whiplash pain find it helpful to use ice or heat on their necks and upper backs. In general, ice should be used early in the recovery period, to reduce inflammation, while heat is especially helpful to relax muscles before range of motion exercises.

If over-the-counter pain medications and self-care treatments at home aren’t enough, your doctor may suggest physical therapy. Physical therapy interventions are the mainstay of treatment for whiplash. Therapy treatments may include:

Manual therapies, including myofascial release
Stretch & Strengthening exercises
Rehab exercises can help to minimise symptoms, help protect your neck in the future and speed up recovery. Immobilising the neck for long periods of time can lead to decreased muscle bulk, strength and impair recovery.