The worse case scenario is that the pain gets so bad that you cant sleep. Cervical spine injuries, although uncommon, can result in significant and long-term disability. SCI Mnemonic for cervical levels. The most common cause of spinal compression fractures is osteoporosis. Fear that she would become paraylzed at the slightest injury. Theres no commitment and no pressure. 6 0 obj <]/Prev 967859>> Ask patient to bring his knee towards his 0000004501 00000 n Your feedback will help us improve the educational information we provide. endstream endobj startxref Often looking toward the ceiling and over the shoulder causes an increase in pain. You cant feel your fingers unless you are looking at them which makes driving hard or even doing your buttons. The general precautions immediately following shoulder arthroplasty are as follows, but may differ on an individual basis. OccupationalTherapy.com provides comprehensive courses offered for occupational therapy CEUs presented and authored by the leading experts, and delivered by the latest technology to meet the needs of the individual learner. A cervical fracture is a break in a vertebra (bone) in your neck. Even if you have tried therapy before, and got no relief, give us a call, , the owner of Hands-on Therapy Services and author of the book . 458 0 obj <>stream Symptoms that improve when lying down with the arm lifted over and behind the head. Limit neck motion as instructed by doctor. These cookies will be stored in your browser only with your consent. Find out more about Online Marketing for Doctors. ]' . Apply mild pressure to give yourself a deeper stretch (see Figure 2). Nitric oxide and bromine at initial partial pressures of 98.4 torr and 41.3 torr, respectively, were allowed to react at 300. Place your left hand on top of your head. Since then, she is able to sleep, get in and out of bed without pain and numbness, works the computer without suffering, her arms going numb, and countless other activities that she was missing out on because of fear. Treatment after a thoracic spinal cord injury may include: Learning basic activities of daily living: gaining independence with bathing, dressing, and toileting and learning to use . 2NO(g)+Br2(g)2NOBr(g). Place your right hand on your left cheek and jaw. A compression fracture in the spine occurs when the vertebrae (small cylinder-shaped bones) that form the spine collapse or break. Gentle flexion, extension, retraction active range of motion in to speak to our specialist after reading this blog if you are looking for answers on how therapy can help you specifically. Spinal surgeries, whether elective or not, may also be extremely painful for your patient the first few days. If the patient is provided a brace, they must always wear it when out of bed until the doctor states otherwise. y;=?Us}r[?y1r@*]mO,+)&uJjD*%|r B{@b~$1^0 wX ~"f.Jyx Is9vduwz$}&c76WBo@yBZSGnvLJbO #;M`9U|,j( wG5q`,.?RDBl5orl.#6NdpSJO*y}HBxX? If you are worried but scared to do anything because you are afraid of what therapy or surgery may do, consider talking to us first. Hold each stretch for 30 seconds, then relax. Use of electrical stimulation has in the past been linked to changes in tissue growth, and while it is not always contraindicated, we want to consider if it is wise to use electrical stimulation over that site. Sit or stand in front of a mirror, so you can see your face. <> Fear of not being able to continue running her business. 0000019926 00000 n Ortho precautions are typically 6 weeks but you always want to verify this with the patients surgeon as they sometimes will have other time frames. If you are committed to avoiding taking pills that dont work. <> X30348 (05/2020) AAHC Cervical > Post Surgical Exercises - Spine. Also, I would recommend researching how to . Neurostimulation is an effective, proven therapy for reducing chronic pain. &iiB)0N|IWY `XMdET>ykc(9{"k a\&'^G n9 - The brace may need to be modified in the event of weight loss or gain But first, let's discuss the reason why occupational therapy . `)WwHBX ;1dVKO%s%I[`YXKe/xhd2W@ZZa~4TxBhhx`X9P3VS R5z"cxp%F?{;"Rd*}l^V%|sLPC"LN&D*II5I)+G-d=>zN>d[wHvN"8ES`m,ijd/]@;,2zcCA7 1|{HA[#]]","(~El%GlGU]VxlPq Ghhp;RXdx-~,u6-:%$yH^6{:H;Qg0}g zT[w&@;w&z% 0000023418 00000 n - If there is any drainage of the wound onto the brace, wash with alcohol Please invite your family member/caregiver to attend a physical therapy (PT) or occupational therapy (OT) session following your surgery. This covers the traditional sternal precautions, with information about "Keeping your move in the tube" at end the of the article. Working with ortho patients was a hard change for me personally after almost solely working with neurological patients for the first year and a half of my OT career. Actually, if you have cervical radiculopathy, it ALREADY means that you have left it to get worse over time and NOW you may be looking up what to do and how to treat it because the pain is getting worse, and you may be more worried about numbness getting worse. 5 0 obj cX00128XL O hbbd```b`` A$:"jvK9X"+ILH +L ,`{a#T8b6M Positioning is used widely to prevent the development of contracture and to discourage unwanted reflex activity. Numbness, weakness and pain can happen throughout the arm and hand. 2023 All rights reserved Hands on Therapy. endobj %PDF-1.6 % 0000021819 00000 n Spinal Precautions After Cervical Surgery. This activity reviews the indications, contraindications, and techniques involved in performing . 0000015811 00000 n Reference guide for all the Precautions for Occupational Therapy Treatment. For 4 weeks, no lifting >5#, then progress slowly. 0000038403 00000 n 0000057682 00000 n They may also teach you new ways to do things around the house. Spinal Cord Injury Occupational Therapy Reference Guide. 6>b2_vX2iL+[3ms7ZRV;6Snw{u7I;hG*T;|wtt]99]8rWL6,`n0zE V+KB}\k 5$F,Bv8)EN}'?-wO~;{ZKE|XIqc This is a great summary of precautions following hip, knee, and shoulder surgeries. Please consult your physician for a complete list of indications, warnings, precautions, adverse events, clinical results . If youre still feeling stuck or if you need more information on a particular joint or protocol from an OT lens, be sure to dig into your Pedrettis Physical Dysfunctiontextbook or yourRadomsky Physical Dysfunctiontextbook, or whichever phys dys textbook your school required. Contents Hide. 5. How many milliliters of 0.125M0.125~M0.125M sodium carbonate solution would be needed to precipitate the calcium ion from 37.2mL37.2 \mathrm{~mL}37.2mL of 0.105MCaCl20.105~M\mathrm{~CaCl}_20.105MCaCl2 solution? You may be able to move your shoulder and get full motion of your neck back before 3 months. ), Noexternal rotation (turning outwards) of the surgical leg, No bending the hips forward past a90 degree angle (no forward flexion), For a list of detailed pictures of these hip precautions and home safety measures, you can print out any needed pages from this helpful, Whether your patient does or does not not have any specific precautions, a. for lower body dressing due to the difficulty of bending forward to put on and take off shoes, socks, and pants. But, y ou may want to keep wearing your sling for comfort. stream Follow these tips when doing your exercises. endobj Center brace evenly on the body before fastening straps. In addition to "neck" or "C-spine precautions", all trauma patients are cared for with thoracic and lumbar level . Generally only the carbonates of the Group 1 elements and the ammonium ion are soluble in water; most other carbonates are insoluble. The lower portion of the spinal column is called Lumbar spine. Having an MRI or CT can confirm neurologic compression and the extent of the compression. We will look at your shoulders and hands to see where there is tension and the nerves may be stuck causing you more aggravation. The pain may feel dull ache, numbness/tingling, or an electrical sensation anywhere along the pathway of the nerve. 0000019582 00000 n Place one or both of your hands over your abdomen (belly) (see Figure 10). Any specic recommendations will be given by your physician, healthcare provider or occupational therapy team regarding activities of daily living. xref Take 1 full breath between each repetition. The spinal cord connects to the brain and travels down through a canal in the vertebrae. 11 0 obj Weight-bearing as tolerated: This one is literally "as tolerated," so it can be up to 100% if the patient is able to tolerate that. startxref Place the tip of your tongue behind your top teeth. In addition to the BLTs, instruct the patient to use the. Post-Operative Cervical Spinal Fusion Department of Neurosurgery Lahey Hospital & Medical Center, Burlington 781-744-7580 . Push your shoulders down and away from your ears. 0000006686 00000 n Eating with adaptive utensils and plate guards. Contact Information: bpclinic@umich.edu or 734-936-5017. With cancer, where you get treated first matters. There are many variations of adaptive utensils for spinal cord injury patients with upper extremity motor impairments. Or want to avoid getting injections and surgery request to speak with our specialist. CERVICAL PRECAUTIONS: Wear your cervical collar at all times or as recommended by doctor . Gently turn your head so youre looking up and to the right. Thanks so much for always having outstanding articles for our review! 0000007740 00000 n endobj We will run through a comprehensive clinic testing to determine where the problems are, and find out which corrective movements work the best for you. 0 fk therapy, soft tissue release, NDT/ Bobath assessment and treatment techniques, normal movement, vestibular rehabilitation, acupuncture, massage therapy, chronic pain management, exercise programming, and mindfulness. 0000010515 00000 n Necessary cookies are absolutely essential for the website to function properly. Na2CO3(aq)+CaCl2(aq)CaCO3(s)+2NaCl(s). x}xTjBQjHB{3f(#$!6[I>c'-wW Do not lift or carry objects that weigh more than 5 to 8 pounds. LcH#*tN%A And that is the worse case scenario. If you choose to keep wearing the sling, take it off every 2 hours and stretch your elbow and shoulder. James Patient Education Handouts (A - Z) Click on the title to see the handout To narrow your search use "Ctrl + F" and enter a keyword . %PDF-1.5 % 0000001158 00000 n If exercises are the medication to help cervical radiculopathy getting the wrong dosage or the wrong medication can hurt more than help. . 3. For this reason, your doctor may prescribe occupational therapy to assist you in learning alternate methods to perform these tasks. (!{Yn4PBz.r:{"sE1DSN'$6n0%{*=]0xrjU!uFL~A^^M*oI~7S)\!8kFJveCfQU-77%OR\[+VH6Y_%'_ZL-*b:3|>MqhM#JVgv&-J1H- 3. 0000033307 00000 n you otherwise, follow the safety guidelines (precautions) in this handout. 0000026068 00000 n endstream endobj 65 0 obj <>stream endstream endobj 382 0 obj <>stream Contraindications / Precautions for Treatment: General Contraindications No heat in the involved quadrant No blood pressure taken in the involved extremity No exercise with active infection No exercise with excessive pain No ultrasound in the involved quadrant for patients with a history of cancer only General Precautions Having an MRI or CT can confirm neurologic compression and the extent of the compression. 0000003343 00000 n <> Figure 3. Do not make any fast or jerky movements. 9. 0000007499 00000 n A physical therapist and an occupational therapist may exercise your arms, legs, and hands. Lie on your back or sit in a supportive chair. Providing assistance around the home during the first week after discharge. One thing Ive encountered in fieldwork is patients of high cognition who even after being given much instruction consistently break their precautions (primarily weight bearing). - Call the brace vendor with any concerns and supply vendor information to the client prior to discharge, - Brace or binder hVPgA@2$0TRp@Djf@#559+EKZjd5 Published November 2021. `Z&5 xR^g%!OqCK8b*S,@. Typically, symptoms occur on the same side of the body as the affected nerve and may include: You may feel pain that is described as sharp, pins and needles, radiating, and burning down the side of the arm. textbook, or whichever phys dys textbook your school required. It also prevents you from having tightness in your chest muscles and from straining your neck and shoulder muscles. C4 Breathe more, shrug my shoulders to ignore. Cervical collars may be used for a short period of immobilization during an acute phase. Improving postural alignment of the lumbar spine. Wear it too long and you will become stiff, causing more symptoms. Occupational Therapy Toolkit Treatment Guides - Section 1 ADLs and IADLs . The low back (lumbar spine) curves slightly inward. Symptoms of cervical radiculopathy vary depending on where the compression is occurring. endobj 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r The best way to educate your patient in completing upper body dressing is to wear button-up, loose fitting shirts and to not use operative arm during the task. endobj Precautions Your doctor has given you other precautions, or things you should avoid, to allow your neck to heal: Do not twist or bend your neck. C8 This is great - now my thumb can manipulate. 4. 223 0 obj <>stream The precautions, also known as BLT's (for Bending, Lifting, Twisting) are usually in effect from anywhere between two and three months. If this happens, ask your healthcare provider if you can stop doing the exercises. 8\Oxw8URPPPfHB The aim of her occupational therapy practice in the Miami area is to bring patients back to full functionality, without pills, injections or surgery. This will help your shoulder and neck move and work like they did before your surgery. Postoperative precautions and wearing a brace can make some self-care activities and activities of daily living difficult, if not impossible. 12 0 obj Always check the doctors orders in case anything is different. Always keep your shoulders back and relaxed, and your head retracted (pulled back). 13 0 obj When you start to burn your fingers and not even realize that you have burned your fingers. Earning occupational therapy CEUs is a great way of staying up-to-date and connecting with other professionals. During this time, he was able to meet many of the initial goals he had established with Nikki. occupational therapy practice in the Miami, area is to bring patients back to full functionality, without pills, injections or surgery. What happens if cervical radiculopathy is left untreated? 5 Precautions and Prevention. For a great resource to provide your patients, you can print out thisActivities of Daily Living After Spinal Injury or Surgeryhandout from the University of Washington Medical Center. `F*^'KRhZ+ fvycR=S{H)$:QYP`gz2? After 24 hours, you may take it off. 0000002012 00000 n Partial weight-bearing: 20-50% of body weight. Numbness, weakness and pain can happen throughout the arm and hand. V_YI93T":VMvh{ I get all of my handouts from The Occupational Therapy Toolkit by Cheryl A. 0000003192 00000 n An anterior cervical discectomy is the most common surgical procedure to treat damaged cervical discs. Occupational and Physical Therapy are both offered at Hands-On Therapy by our experienced therapists who provide a comprehensive approach to your care. Big Box vs. Personalized Care and Its Value, What is Thoracic Outlet Syndrome: Signs, Symptoms & Treatment. Or want to avoid getting injections and surgery . 0000008704 00000 n 0000003792 00000 n - Elastic laces fn 235 0 obj <>/Encrypt 202 0 R/Filter/FlateDecode/ID[<273B5A8143F1A949823C638DA4F5BB00><2F8DB1E50BEDE44DADCBBB1478E17058>]/Index[201 68]/Info 200 0 R/Length 135/Prev 126605/Root 203 0 R/Size 269/Type/XRef/W[1 3 1]>>stream Knowing things like cardiac precautions, hip precautions, cervical precautions is essential. 7 0 obj The exercises in this resource will help make your neck and shoulder muscles stronger and more flexible. 1. <> This is particularly helpful for people that have had a . It took at least 2 years of the symptoms getting worse, worries of work, and being in her 60s and thinking about retirement to finally do something to help herself. Please do not write your name or any personal information on this feedback form. with the surgical arm for X amount of weeks (X = doctors recommendation), No hygiene tasks reaching back during toileting with operative arm until cleared. Your pain may worsen with certain neck movements. If you are not OK with this, you can opt-out if you wish. 0000036341 00000 n Breathe normally. 0000000016 00000 n endobj Anyone who sits for long periods, looks down at books or at computers, has jobs that use vibration types of tools, or over time loses motion in the neck region, also may be affected. Lie on your back as much as possible when sleeping. Further education regarding ADLs can include these general precautions: I hope this gives you basic crash course in working with your first orthopedic patients! Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. It is normal to feel frustrated, stressed, tired, or depressed after a major . 521 0 obj <>stream You can live with this problem for years and you may already have. A speech therapist may work with you to . The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute xT*S+`]wQNV foi8=.n.?Sf\i"{))oK'pP ,w$Z98C9gV:Jwi\2spApRAc+x5FA:4qkXlgCSYbkeDCJwp|IT~&Sl7=bw9H\l/)a0&lIv;VJXBLj@0z> 2. %PDF-1.7 % Weight-Bearing Precautions. Starting too soon or too late can affect how well your shoulder and neck will work in the future. 7. }:pBX-d2M,g>)[H$xL4H8uTRRkAMu$"\?t>3m9U7 Q-l: HW sjl y9@- hHe?Fchlj4VU:(`~ a!T!!{dlg,5oJZReruKSxl[a! Consultation. Cervical radiculopathy is a condition that causes pain, weakness, numbness and tingling, and loss of mobility in your neck and arm. Do not lift above shoulder level. Lift your arms up and circle them backward (see Figure 8). For this reason, your doctor may prescribe occupational therapy to assist you in learning alternate methods to perform these tasks. [2] These conditions are referred to as radiculopathy and . 0 16 0 obj are invaluable to patients following spinal surgery or injury to adhere to spinal precautions and make dressing tasks achievable. K. At equilibrium the total pressure was 110.5 torr. 7NP }D']ks$3xPip9jSEB*VVvY=4d6)NPXeH%8Bl#*gH7hH`xbl#t-7Z"- Dbx>X]yYVF&%|p#.V It can be months or even years. 0000064828 00000 n This is done as an effort to prevent injury to the spinal cord 1. . hb``f````e`da@ 6 X,.BgmU. Precautions . %%EOF endstream Talk with your healthcare provider before lifting or carrying things over 3 pounds. Some resources state to wear the sling for 4-6 weeks while sleeping and while entering the community, but this will depend on the surgeons orders. Cervical spinal stenosis is a narrowing of the spinal canal in the neck, mostly in adults 50 years and older, and can cause pain and other problems. Check with your healthcare provider before you try to carry a backpack or knapsack. This post includes mainly precautions with some home safety. One of our clients has had issues with her neck and shoulders for 30 years. - Use of walker Or want to avoid getting injections and surgery . 2 0 obj What would be the partial pressures of all species if NO\mathrm { NO }NO and Br2,\mathrm { Br } _ { 2 } ,Br2, both at an initial partial pressure of 0.30 atm, were allowed to come to equilibrium at this temperature? In these difficult times, we are here to help. 480 42 80 0 obj <>stream Occupational or Physical Therapy treatment helps to restore full neck movement as early as possible to help reverse or stop the progression of skull deformity, cranial facial asymmetry, and to prevent bony and postural changes that may cause asymmetric motor development. hbbd``b`$c`Yb vD4H@ K . Cervical Radiculopathy is always serious as it is pinching on a nerve, and how bad the symptoms are to you is when it becomes a serious problem. Pacific St., Seattle, WA 98195 | 206-598-4830 . Move your arms out to the sides, while squeezing your shoulder blades together (see Figure 9). 0000011284 00000 n This video will provide details for how to safely complete dressing activities with a neck brace (cervical collar) in place. 0000002697 00000 n $udJMC !G Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Educating Patients on Home Safety Following Orthopedic Surgery, Activities of Daily Living After Spinal Injury or Surgery, (Cleveland Shoulder Total Shoulder Arthroplasty/Hemiarthroplasty Protocol), The Best Splinting Guide for Occupational Therapists, 6 of the Best Occupational Therapy Forums, 10 Reasons Why OTs Should Be Using Occupation-Based Interventions. Be Heard! <> 0000006908 00000 n H9SLeiZD_x}q#?/.NJ_b0 aIw;fq?4![AAAAj2:_/O}V*|C">i~{ S6x+(((tGyS/_>{|JoDo8 '%~ [AAAA#6s?{z?}&?M${O}tuJ=2 FsBQ&g.kL_"]2F"%>uPB`"ClJ0|x?MoSM26P~]l He covers all things occupational therapy as well as other topics including healthcare, wellness . 0000038279 00000 n Precautions: Prevent excessive initial mobility or stress on tissues . Conservative treatments, like physical therapy, can help get pressure off spinal nerves, which will relieve pain and improve motion in your neck and shoulders. No overhead lifting or activity. 0000005256 00000 n <> %%EOF Occupational Therapy | Box 356490 1959 N.E. What OT topics are you most interested in? How much time? Emphasis on proper breathing mechanics. If you are worried but scared to do anything because you are afraid of what therapy or surgery may do, consider talking to us first. endobj gi;;93HAAOC?Yd0vua"v?JtthfWGAAAA!bB-.Q]]&b?oz#zc:'Vtu3)'?.BXL>MOVRjfWOAAAA! tt~t3JTPPPPCtz@G:'h*2wuA4]_G:t/*UPPPPGX:{:{}IF8KU]]\l[fPezcv@!oxuu2?3G~hC+wv -_oh!rw+(((\:w#?DdGWW@AAAF2vDJh?6~%r6TPPP9$j~ET:pMbt=W}=$6>GcTeGq%/ V History of lower back issues even if you dont currently have pain. Sheila Surmeier, OT demonstrates how to put on both a button-up and a pull over shirt with one hand. Occupational therapy. On the other hand, the individual may have no restrictions at all depending on the surgeon. <>>> When the spinal nerves have pressure put on them, they cannot properly transmit messages from the brain to the muscles. Though the EMG test has been proven to not be very reliable as it can give false positives meaning it says you have a problem when the problem is not really there. - Long-handled sponge %PDF-1.5 ]"n m9)P(Z"Ja'j1[d1I1d({Y$j=T~n"-h b\X)~Q^o*:]&]z2]|#H#& ._sQy"ab9=hk)SH!r\)4cFRYx/A(Tu8%@ /t{@#*e dX,-9Rp%k~M],|Y]Am. - Shower transfer There are many people who are older and have boney changes who do not live in pain and I want you to know that it is possible for you to explore as well. This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors. C5 Arms up high, bend my elbows, pretend to fly. Wear your collar at all times or as recommended by your doctor. But opting out of some of these cookies may have an effect on your browsing experience. I appreciate you! 0 If you would like more information about the services give us a call at 786-615-9879 or visit handsots.com. X#Kd p%hPiP&Ih~OF;}X^-{'qElRrY&W#LX[IMnpYD1]$kIVQC_=l*Y v(=2 2h xM`=%_}U4WW2J(#vJ+SW7eIb9_})ld"RGVyv&^rIRlR9R0s6CL ;0!'0q{^eU\'3p|~9bu~yT_@476*5D+6VWf%l+XWl~x L*^lbVgT&c>N.M 3dJogY09 qNNo7/Tns'if.y|D/&'_:7y%%I\.Hd]%:(_ey6C2BYL7uQ)Y". Prepare to wean from brace or cervical collar after 6 weeks, if neck brace has been used. Overall, cervical radiculopathy can be treated conservatively. Occupational and/or Physical therapy can improve neck motion, improve muscle imbalances, and get rid of the symptoms. If you must lie on your uninvolved side, rest the arm of your involved side on a pillow in front of you. The condition affects about 85 out of 100,000 people, and most often start presenting with symptoms in people in their 40-50s. 247 0 obj <> endobj Kevin attended occupational therapy at the outpatient day treatment program for 6 months. Cervical traction is a non-invasive procedure used to provide symptomatic relief for a variety of cervical pathologies. For a single-level ACDF a soft collar is used for 2 weeks. endstream endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <>stream Rely on effective 1-2 therapy with your implant. Gently turn your head so youre looking down and to the left. Do the exercises slowly and smoothly. During the acute phase of recovery, physiotherapy will focus on . A second red flag that we want to be aware of is malignant tissue or the presence of metastases. 0000006020 00000 n %PDF-1.4 % Fs12k!x_Tpue+8eK{ rM520|Q"+Scq/;d5U+ A physical therapist and an occupational therapist may exercise your arms, legs, and hands. A C6 spinal cord injury is a type of cervical spinal cord injury, the most severe type of injury. 0000000956 00000 n The goals of physical therapy for someone with spinal stenosis include: Improving range of motion of the lumbar spine. Toe-touching weight-bearing: Up to 20% of body weight. Sep 2018 - Dec 20184 months. Not all of our clients come in with exactly the same problem, nor do they have the same goals. Oftentimes, EMG testing can help rule out compression. Cervical radiculopathy is often referred to as a pinched nerve in the neck, where the pain that may radiate down from the neck to the shoulder, shoulder blade, arm, or hand. %PDF-1.5 % Theres no commitment and no pressure. As you mentioned, each MD can have their own list of precautions following surgeries and its best to clarify with MD in order to education/instruct the patient. Sometimes being very aggressive might feel good but then actually cause you pain later. %PDF-1.6 % 0000016255 00000 n But the no pain no gain mentality does not work with this type of issue. 0000007267 00000 n Each vertebra is separated by a gel-like disc that provides shock absorption for the spine. Rehabilitation programs following a laminectomy will focus on post-operative mobility, patient education and pain management. We will address the thoracic spine (ie mid back) to make sure you are able to move your neck without pain. Slowly lower your bottom jaw to open your mouth, while keeping your tongue in contact with the roof of your mouth (see Figure 6). 0000016611 00000 n endstream endobj 378 0 obj <>/Metadata 51 0 R/OCProperties<>/OCGs[421 0 R]>>/PageLayout/OneColumn/Pages 375 0 R/StructTreeRoot 83 0 R/Type/Catalog>> endobj 379 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 380 0 obj <>/Subtype/Form/Type/XObject>>stream 193 0 obj <>/Encrypt 165 0 R/Filter/FlateDecode/ID[<3E2241A432954A488A4FF122A7100986>]/Index[164 60]/Info 163 0 R/Length 115/Prev 98629/Root 166 0 R/Size 224/Type/XRef/W[1 2 1]>>stream oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E The general precautions are as follows, but do keep in mind they may differ for your patient. One thing we do really well at Hands-on THerapy Services, is to get your clear on what you can do before making any paid appointments.

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