JOB OPPORTUNITY FOR PHYSICAL THERAPIST AT NICK RINARD PHYSICAL THERAPY
Physical therapist, 1 part-time and 1 full-time position available
Cert. MDT or seriously pursuing certification; valid or eligible for OR PT License. High level of professional and personal excellence is expected.
Our Clinics are MDT-based, outpatient physical and occupational therapy practice, 2 Portland locations (SW Portland and by Portland Airport)
Clinics are open 7-6 Monday –Fridays
• Compensation competitive for private practices in our area
• Incentive program based on productivity and leadership available
• 24 Paid Time Off days/year
• Excellent Health insurance
• Excellent Dental insurance
• 401K for individual contributions
• 3% 401K match by MDT
• 401K MDT Profit Sharing Plan
• License fee compensation
• Continuing Education allowance
• Sign-on Bonus for new grads or Relocation Assistance
• Exceptional work environment: collegial, esthetically pleasant, friendly, open, professional, conducive to learning
• This is a great opportunity for the right therapist looking for further training/mentoring in the McKenzie & MDT method
• Portland is a great place to live, offering year-round outdoor activity, coast and mountains, and a comfortable city scene
Please EMAIL resume and letter of interest.
Michelle Tillman, office manager
Nick Rinard Physical Therapy
9700 SW Capitol Hwy, Suite 140
Portland, OR 97219
- Principals only. Recruiters, please don’t contact us
- do NOT contact us with unsolicited services or offers
Nick came across this article about shoulder pain and MDT approach to treatment that we use at Nick Rinard Physical Therapy clinic. He thought it would be informational for our audience.
Rapid resolution of chronic shoulder pain classified as derangement using the McKenzie method: a case series Maria Corazon Aytona1 , Karlene Dudley2 1 Southeastern Regional Medical Center, Lumberton, NC, USA, McKenzie Institute, NY, USA, 2 Southeastern Regional Medical Center, Lumberton, NC, USA The McKenzie method, also known as Mechanical Diagnosis and Therapy (MDT), is primarily recognized as an evaluation and treatment method for the spine. However, McKenzie suggested that this method could also be applied to the extremities. Derangement is an MDT classification defined as an anatomical disturbance in the normal resting position of the joint, and McKenzie proposed that repeated movements could be applied to reduce internal joint displacement and rapidly reduce derangement symptoms. However, the current literature on MDT application to shoulder disorders is limited. Here, we present a case series involving four patients with chronic shoulder pain from a duration of 2–18 months classified as derangement and treated using MDT principles. Each patient underwent mechanical assessment and was treated with repeated movements based on their directional preference. All patients demonstrated rapid and clinically significant improvement in baseline measures and the disabilities of the arm, shoulder, and hand (QuickDASH) scores from an average of 38% at initial evaluation to 5% at discharge within 3–5 visits. Our findings suggest that MDT may be an effective treatment approach for shoulder pain.
This is a question that seems to be in debate. At our clinic, we advise our patients to come in for treatment as soon as possible when experiencing pain in order for the fastest results. I have experienced push-back from other health care practioners who want the person to “rest” for 4-6 weeks before starting therapy. The problem with this? There are many things a person can be doing immediately after the MVA to facilitate healing and prevent dysfunction. All too often, we see people 6 months or longer after the MVA. If the patient has not been given anything to work on for exercises at home, the picture is this: limited, painful movement of the spine or joint, global weakness, and poor posture that becomes painful if corrected.
What does therapy look like in the first few weeks after an MVA?
- Initiate gentle range of motion exercise to prevent loss of movement
- Manual techniques including passive range of motion and soft tissue mobilization to promote blood flow and healing.
- Ultrasound modalities that decrease inflammation/swelling and promote tissue healing
- Education and training on how to prevent dysfunction
Here at Nick Rinard Physical Therapy, we see a lot of patients who have suffered an MVA. In fact, we see it so much we have a protocol for it that is very successful for treatment. Don’t wait! Start healing and feeling better today!
Last week, I had a patient come into the clinic with neck pain that had started the week before. He had been a patient in the past and knew that the sooner he got in for treatment, the better.
Terry had pain medial to his left shoulder blade. This pain was limiting him with sleeping and with driving, as left rotation caused pain. He was rating his pain a 4/10 at the time of the evaluation.
Evaluation and Assessment
Scapula connects Upper Arm with Collar Bone
During the evaluation, left and right rotation motions produced pain medial to the left scapula. Upon palpation, the musculature where the pain was produced was very tender, acting like trigger points. I chose not to treat the trigger points, as these things are likely secondary to the real problem: a derangement.
During the repeated movement assessment, I had Terry go through retraction, extension and flexion. When we tested repeated left rotation, Terry’s pain decreased with repetition. Terry was sent home performing repeated left rotation with over-pressure. By his next visit, his pain was significantly decreased and the trigger points of the muscles had also decreased with pain when palpated. I had Terry increase the frequency of which he was to perform the rotation exercise. By the next visit, Terry had abolition of all pain, no limitation with sleeping or driving and the trigger points were completely gone!
Getting to the Root of the Problem
The Mechanical Diagnosis and Therapy (MDT) Method is very effective at getting to the root of the problem. When the core issue is fixed, the secondary impairments almost always resolve on their own. If a clinician is always treating the symptoms and not the cause, this will lead to more visits, more time until recovery and more money from the patient. This is one of the fundamental reasons that we practice the MDT Method here at Nick Rinard Physical Therapy – to fix your core issues!