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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..

    That Time I Broke My Knee

    November 17th, 2016 by

    For some reason, I think the universe feels the need to:a. Teach me how to rehab nearly every injury conceivable through personal experience.b. Keep me humble.c. Remind me that when one body part isn’t working, you can always work something else.d. All of the above.In a recent non-MS-related fall straight down on my knee cap, 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..

    Two Hours in an MRI Machine

    October 21st, 2015 by

    This blog post includes language that might be offensive to some people. Proceed at your own risk. I am generally a very mellow person. Someone cuts me off in traffic? Whatever. A client cancels at the last minute? Awesome – found time. I’ll read my book. Housekeeper breaks an irreplaceable statue my sister got me Continue Reading..

    Is your Doctor in Bed with Pharma?

    October 7th, 2015 by

    A reader of my newsletter recently clued me in to something fascinating (and equally disturbing). Many of our doctors – yours and mine – are getting kickbacks from pharmaceutical companies. In fact, some doctors take millions of dollars a year from drug manufacturers. In an effort to try to figure out if my doctor’s recommendation for me to Continue Reading..

    Depression and Suicide in Chronic Illness

    August 14th, 2014 by

    With the death of the beloved Robin Williams this week, the Internet is abuzz with some of the best, honest, in-your-face truths about depression and its most profound side effect, suicide. In a statement released by his wife, we also learned that Robin Williams had been diagnosed with Parkinson’s disease, and was unready to discuss 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..