mountainwheelz
1 post
Apr 21, 2009
10:09 AM
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I have read the Outsmart Pain e-book and the mini case studies. I have had varied results with patient's with differing diagnoses. I have been doing 1-2 sets of the Fab 5 exercises. If I don't see quick results I tend to give up. Am I giving up too easily?
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jen
42 posts
Apr 21, 2009
6:57 PM
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first to clarify-when you say no quick results, are you saying no full improvement? or not even notably improved?
if no full improvement-i'd say yep yep-try several more sets
if not even notably improved-i'd ask: are you using enough intensity or force when exercising the good side for that particular motion?
sometimes i have to push pretty hard on my good side to get the full improvements as quickly as i'd like; sometimes i can lazy my way thru and still get good results
make sure you area using enough intensity when working the good side and dont stop after 1-2 sets as long as you are seeing some improvment (sometimes it all happens on that 3rd or 4th set, sometimes it may be the 8th)
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mountainwheelz
2 posts
Apr 30, 2009
11:46 AM
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Here is an example I tried today. 42 y/o male with Grade 2 anterolisthesis L5 on S1 causing severe bilateral stenosis at L5. The patient reports 5/10 across his low back, judging by his facial expressions his pain is probably much higher. Since the patient is similar to some of the case studies, I try the arm raise and twist. I try the 3 x 15 seconds with the good side with each exercise. The patient has no change in symptoms better or worse and has severe back pain with the twist in each direction. This is the point where I moved on. I admit I did only try one round with these exercises and did not get results in any way similar to the results in the case studies.
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Tom Dalonzo-Baker
108 posts
Apr 30, 2009
5:17 PM
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Try it on some easier patients so that you build up some success. Also what type of understanding do you have with TMR, did you only download free book, buy the intro course??? You should test all 5 exercises find out the worst one and treat. Try on yourself, some easier patients, like shoulder patients, elbow, knees, etc. Backs work great too, however this man just may be too severe for your level of understanding
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mountainwheelz
3 posts
May 01, 2009
7:20 AM
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The only understanding I have at this point is from downloading the free book. I am hoping to attend a seminar this fall. I have tried on co-workers and family with minor aches and pains with success. I will keep working at it with patient's with pain that is not as severe as this one. Hopefully I will meet at the NYC seminar in the fall.
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bjones
8 posts
May 04, 2009
10:33 AM
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Difficult to "treat" a patient via message board however I would agree w/Tom about trying/testing all 5 exercises if you run into a patient as you describe. One of the "rules" of the game is that one side is always easier than the other however if your patient exhibited "severe" pain...I'd back off too(pun not intended) and go for something else like the arm raise, single leg squat, bent knee toe reach...which is usually the order I play with. I do find that the more I play with this the "better" I'm getting at it. No different than any other "learned" activity. The "Grade 2 anterolisthesis" may or may not be the pain generator however. Come on down to Columbus GA...June 6th/7th!! Then retake it in NYC!!!
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