Tom W. on Rehab Science

Tom W.

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145 posts

203 comments

Posted

14 Jul 10:27

A new video on movement tests to help identify frozen shoulder is available here in the app. Here is a link for the video.

https://membership.rehabscience.com/programs/frozen-shoulder-tests?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4267668&utm_content=mobile

Replied on Low Back Pain (Chronic Pain, SI Joint Pain & Muscle Strains)

13 Jul 12:19

Aavash@123 Great question. The main difference comes down to the fact that when someone works one-on-one with a physiotherapist, the exercise selection is based on an individualized evaluation.

During an in-person assessment, a physiotherapist looks at many factors, including your symptoms, movement patterns, strength, mobility, irritability of the condition, functional limitations, and your goals. Based on those findings, they choose the exercises that are most appropriate for you at that specific point in your recovery. A patient may be given one or two exercises from Phase 2, a couple from Phase 3, and perhaps one from Phase 4, while completely skipping Phase 1 exercises if they are not needed. The physiotherapist is essentially creating a customized program by selecting the “best tools” from different phases.

The reason my programs are structured differently is because they are designed to help a larger number of people who I have not personally evaluated. Since I cannot assess each person’s unique presentation, I need to create a more general progression that is appropriate and safe for the majority of people experiencing a particular condition.

The purpose of the phases is not that every person must complete every exercise in every phase. Instead, the phases represent a general progression of rehabilitation principles.

Phase 1 is typically focused on calming symptoms, improving tolerance to movement, restoring basic control, and introducing exercises that are appropriate for people who may be more sensitive or irritable. Some people may not need this phase, but for others it provides an important foundation.

Phase 2 generally progresses toward building more control, and addressing any range of motion impairments that may be present.

Phase 3 introduces more challenging exercises that require greater strength, coordination, and load tolerance.

When you work with a physiotherapist, they can often start you somewhere in the middle because they have already evaluated you and determined where you fit in that progression. They are selecting the exercises from different phases that match your current needs.

With my programs, the phased approach provides a structured pathway that allows people to gradually build capacity while reducing the risk of doing exercises that may be too advanced too early. It is a more generalized roadmap rather than a replacement for an individualized assessment.

Think of it like learning a new skill. A coach working with you personally may immediately identify that you already have certain abilities and start you at a higher level. A general training program has to assume a wider range of starting points, so it builds a foundation and progresses step by step.

The goal of both approaches is the same: choosing the right exercises at the right time to help you regain strength, confidence, and function.

Posted

10 Jul 11:19

Hi everyone,

Here is a replay from today's office hours session. We discussed several issues, including cervical disc injuries, patellofemoral joint pain, IT band syndrome and nerve referral from the low back.

https://membership.rehabscience.com/programs/071026-9e23bc?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4266612&utm_content=copy

Replied on Hi everyone, Our next office hours se...

10 Jul 09:03

Sorry to miss you today, Linda! I hope your summer is going well so far!

Posted

08 Jul 14:35

Hi everyone,

Our next office hours session will be this Friday at 10am PT. Please visit the link below to RSVP. This is your opportunity to ask me your specific rehab questions. I hope to see you there!

https://membership.rehabscience.com/programs/live-f0tquugb3do?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4264387&utm_content=copy

Posted

08 Jul 08:22

00:18

📚Osteoarthritis (OA) is degenerative condition of the cartilage present in our joints and most commonly affects the knee and hip.

🔎Symptoms usually include pain, swelling, joint stiffness, limited range of motion and difficulty with many functional tasks. Severe pain or functional loss associated with OA of the knee or hip often leads to joint replacement surgery.

🧠Many individuals with OA are told that exercise will harm their joint(s) and encouraged to avoid many activities. While it is important to respect one’s symptoms and progress gradually, it should be known that properly dosed exercise can actually improve the health of cartilage. Furthermore, strengthening the muscles that surround a given joint can actually help to reduce stress on cartilage and other sensitive structures.

✅A knee osteoarthritis program can be found here in the app. Here is a link for the program.

https://membership.rehabscience.com/programs/knee-osteoarthritis?category_id=258965

Posted

07 Jul 10:08

Hi everyone! A new video on Flexor Hallucis Longus (FHL) tendinopathy rehab is now available here in the app. If you have pain underneath your big toe, in the arch of your foot or on the inside of your ankle, these exercises are good to implement. Here is a link for the video.

https://membership.rehabscience.com/programs/fhl-rehab?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4261553&utm_content=mobile

Posted

06 Jul 09:36

00:16

👉Shoulder instability describes a condition of increased joint mobility that affects the static stabilizers of the shoulder joint (labrum, capsule and ligaments).

🔎When looking to improve shoulder stability, it’s important to perform exercises that target the four rotator cuff muscles and the other muscles that move and control the scapula (trapezius, serratus anterior, etc).

🧠Besides adding these types of exercises, it’s also important to consciously focus on activating the muscles that surround the shoulder joint when lifting the arm overhead or away from your body.

✅A more comprehensive program for shoulder instability can be found here in the app. Here is a link for the program.

https://membership.rehabscience.com/programs/shoulder-instability?category_id=259882

Posted

03 Jul 12:52

00:10

📚The neck or cervical spine includes seven vertebrae that are separated by six fibrocartilaginous intervertebral discs.

🧠The discs act as shock absorbers and also function as passive stabilizers of the spinal motion segment (2 vertebrae and the disc between them).

🔎This cervical fluoroscopy showcases flexion and extension of the cervical spine and is a great visual tool for observing our anatomy in action!

Posted

01 Jul 12:12

00:10

📚The anterior cruciate ligament (ACL) runs obliquely from the anterior intercondylar area of the tibia up to the posteromedial aspect of the lateral femoral condyle, and plays a critical role in preventing anterior translation of the tibia relative to the femur.

🔎In this dissection, the femoral condyles roll posteriorly over the tibial plateau as the knee joint flexes, allowing the intercondylar notch to open and reveal the ACL.

🧠Visualizing the ACL during flexion highlights its functional orientation and importance in dynamic knee stability. As the femur moves on the tibia, the ACL becomes taut, particularly in mid-to-deep flexion, helping to resist excessive anterior glide and rotational forces.

✅If you need a rehab program for an injury of the ACL or another ligament in the knee, the knee ligament injury program here in the app will teach you some of the most important exercises. Here is a link for this program.

https://membership.rehabscience.com/programs/knee-ligament-injury?category_id=258965

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