Physical Therapy Clinic Spokane Blog

How to Diagnose & Treat Horizontal Canal Vertigo (BPPV)
Horizontal canal BPPV can be much more difficult to diagnose and treat than posterior canal BPPV, and it’s also much less common (which is great!).
If you think you have horizontal canal BPPV, which is characterized by horizontal “nystagmus”, your first step in getting rid of the vertigo is to figure out 2 things: what side is affected (left or right) and if you’re dealing with particles floating in the canal (canalithiasis) or particles stuck to the cupula (cupulolithiasis).
This sounds confusing, I know, but I’ll explain everything in the first video below!
In the second video, I’ll then explain how to treat horizontal canal BPPV using the Gufoni Maneuver.

Why Rest Won’t Help Heal Your Rotator Cuff Tear (or Tendinosis)
Small tears in the rotator cuff muscles is very common for people with shoulder pain.
On an MRI report, these small rotator cuff tears can be visualized, as can other common issues such as “supraspinatus tendinosis” and “infraspinatus tendinosis”.
For the most part, small rotator cuff tears (and tendinosis) don’t require surgery. Yet many people struggle to heal these issues, reduce their shoulder pain, and regain full use of their shoulder and arm
One of the most common questions I hear from people with shoulder pain and rotator cuff issues is how to heal tears in the rotator cuff.
Often times, these people have had shoulder pain for months (if not years), and at some point they’ve been told to rest to let the rotator cuff heal.
Unfortunately, resting the shoulder rarely helps improve healing and shoulder pain, and it often makes the pain worse.

Top 6 Exercises AFTER Total Knee Replacement (TKR) Surgery
If you’ve just had Total Knee Replacement (TKR) surgery, you’re now in what we call the “post-surgical” or “post-op” phase of your recovery.
This can be a busy time, between follow up appointments with your knee surgeon, physical therapy appointments, and trying to rest and recover.
With that in mind, there are 6 exercises you want to prioritize during this period (3 exercises for quad muscle activation and 3 exercises for knee range of motion).
I’ll demonstrate all 6 exercises in the video below, and I’ll give you some guidelines for how many sets and reps to perform each day.

Top 3 Priorities AFTER Total Knee Replacement (TKR) Surgery
If you’ve just had Total Knee Replacement (TKR) surgery, you’re now in what we call the “post-surgical” or “post-op” phase of your recovery.
This can be a busy time, between follow up appointments with your knee surgeon, physical therapy appointments, and trying to rest and recover.
With that in mind, there are 3 things you want to prioritize during this period:
->> Keep your pain and swelling down
->> Increase your flexibility (aka “range of motion”)
->> Increase your quad muscle activation
If you can focus on these 3 priorities in the first 4 weeks after your total knee replacement surgery, you’ll have a much better chance at making a full recovery.

Inversion Tables! Do they work for Back Pain & Sciatica? And how do I use one? (2 videos)
One of the most common questions I get from our clients with chronic lower back pain, as well as those experiencing sciatica, is whether or not using an inversion table will help ease their pain.
The answer to that question depends largely on one key factor: the Root Cause of their back pain (and/or their sciatic nerve pain).
For example, clients with degenerative types of back pain, such as degenerative disc disease (DDD), degenerative joint disease (DJD) and stenosis tend to do really well with using an inversion table.
That’s because the underlying cause of the pain has to do with too much compression of the spine.
And, when you decompress the spine by using an inversion table, the lower back pain often improves.
Other types of back pain (and nerve root compression) may not respond as positively to inversion.
So how do you know if you should try an inversion table for your back pain (and/or for your sciatic nerve pain)?
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626 North Mullan Road #4, Spokane Valley, WA 99206
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