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  • Neurological Medications and Their Impact on Exercise

    November 17th, 2016 by

    Most neurological clients are on multiple medications, both to manage symptoms and in the cases of chronic diseases such as MS and Parkinson’s disease, to slow disease progression.What does that mean for you as a teacher?First, you need to understand that many of the medications for neurological symptoms cause… wait for it… neurological symptoms. That’s Continue Reading..

    Ten Tips for Working with Neurological Clients

    November 17th, 2016 by

    Program design for clients with central nervous system problems is pretty similar, regardless of what the problem is – stroke, multiple sclerosis, Parkinson’s disease, head injury, etc. Sure, there are differences between the disease processes and treatments, but as exercise professionals, there are certain things that hold true for all of them. Here are my Continue Reading..

    Walking Funny? Here Are a Couple of Reasons Why

    July 5th, 2016 by

    (photo from Pilates Anytime – Wobbly: A Balance workshop) If you’ve taken a workshop with me, you have probably heard me wax poetic on the importance of strengthening the gluteus medius (glute med). In the neurological as well as the normal populations, weakness here is one of the main problems in walking. In my Balance Tutorial on Pilates Continue Reading..

    The Dilemma of Choice in Chronic Disease

    December 24th, 2015 by

    Over the summer, I had a massive liver tumor removed. My PT found it. I had a CT scan. I met with a liver surgeon. He said it had to come out a.s.a.p. The surgery was scheduled for the following week. A student later asked me if I learned anything from the situation. Nope, I thought. 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..

    Understanding Fear of Heights (and Falling)

    August 4th, 2015 by

    You stand perfectly well on the sidewalk, but if you’re up on a box or ladder, you start to feel wobbly. Ever wonder why?   The fear of heights is a common one. Actually, fear of heights is slightly different than the true fear most people have – the fear of falling. The fear of 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..

    “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..

    It’s 90 degrees… or as I like to say, “Kryptonite!”

    July 1st, 2014 by
    Hot. No bueno.

    It’s about two degrees shy of hell right now in Washington, D.C. Last year at this time, I swore I would be living in San Diego for the summer. That has not happened. That needs to happen. The other day, DC was the hottest city in the entire country!! Look!! A hallmark symptom of multiple Continue Reading..

    “There’s No Point in Treating That. You’re Just Going to Get Worse.”

    June 9th, 2014 by
    CalfStretches1

    Over the years, I have had a lot of problems with my left foot/ankle – ankle pain and swelling, instability, and an annoyingly persistent case of plantar fasciitis. Fed up and frustrated, I started going to different doctors. I went to ankle specialists. I got orthotics, AFOs, dorsi-splints, functional electronic stimulation devices, and even went a Continue Reading..