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  • Week Intensive of Neurorehab – Review

    August 26th, 2017 by

    I just got home from a full week of daily neurorehabilitation at the Kennedy Krieger Institute in Baltimore. By the end of today, we managed to get my ankle to an active -10 degrees of dorsiflexion (Monday was -25) and passive to +17 (Monday was 0). Since ankle tightness is my major problem, we’re considering that Continue Reading..

    Determining an ASIA Score and the Role of a Physiatrist in Neurorehabilitation

    August 23rd, 2017 by

    If you don’t have a significant injury or medical condition, you don’t need a physiatrist. You can stop reading. But if you do have one of the above things, a physiatrist can be one of the most valuable treatment partners you have. A physiatrist is like a physical therapist, except a medical doctor. His or Continue Reading..

    Adventures in Neurorehab – Day 2: Gait, and Stairs, and Therapy Monkeys – Oh My!

    August 22nd, 2017 by

    Today was Day 2 of my 2 weeks at the Kennedy Krieger Institute in Baltimore, and I have to say, I felt a lot better about what we did today than what we did yesterday. Yesterday was a lot of measurements. Today, was a lot of work. Since I want to keep this as part Continue Reading..

    Goal: 0 Percent Dorsiflexion (Adventures in Neurorehabilitation)

    August 21st, 2017 by

    Today marks Day 1 of a 2-week exploration of neurorehabilitation at The Kennedy Krieger Institute in Baltimore – one of the nation’s premier spinal cord rehabilitation centers. (Multiple sclerosis is, in case you’re wondering, considered a spinal cord injury). Most people with my functional ability would be happy with the mobility they have, especially after Continue Reading..

    Improving Dizziness with Exercise

    October 6th, 2015 by
    VestibularSystem

    If a client comes to you and says the word “dizzy,” that should be your cue that there is something amiss with either the vestibular system or the nerve pathways that send its information to or from the brain. The vestibular system is one of the three neurological keepers of balance (the other two being Continue Reading..

    Smell, Memory, and Brain Medicine

    August 2nd, 2015 by

    It’s summer, and it never ceases to amaze me how the scent of honeysuckle still stops me in my tracks. It grew rampant in the neighborhood where I grew up, coiling along the bike paths and parks where my sister and I spent all of our days and evenings (until the street lights came on). Continue Reading..

    Understanding and Working with Foot Drop

    May 19th, 2015 by
    photo by Jason Colston

    My foot has fallen and it can’t get up! Foot drop is one of the most common neurological problems. It can happen from damage to the peroneal nerve near the knee as the result of a knee injury or, commonly, a knee surgery gone wrong. Often, a severe nerve injury can’t be fixed, and the Continue Reading..

    What Causes Multiple Sclerosis? Could it Be Different for Everyone?

    May 5th, 2015 by

    “I don’t know why your spasticity is getting worse,” my doctor said. “Your MS is stable. You’re doing everything right.” And I was. I understand how to work with spasticity with exercise, stretching, diet, etc. I know the available medications and what’s on the horizon. “Spasticity treatment” is a long-standing Google alert, and I’ve read Continue Reading..

    “70 Percent of Disability Could Be Prevented”

    July 13th, 2014 by
    Do More

    Recently, I was meeting with my orthotist to try to design plan #43 (at least) to deal with my ankle-that-does-not-move-properly. I asked him how much disability he sees that could have been prevented with early intervention physical therapy. Like, if that person who is post polio or post stroke or who was diagnosed with MS Continue Reading..