By Krissy Brown
20 Feb, 2025
Clinical Case of the Week, Exercise
arm pain, Best physical therapy, Mechanical Diagnosis and Therapies, misdiagnosed, neck pain, Nick Rinard, pain, results, sensitivity in fingers, Thoracic outlet syndrome, TOS
If you are experiencing pain in your neck, shoulders, arms and sensitivity in your fingers it may be thoracic outlet syndrome (TOS).
Get your accurate diagnosis today at Nick Rinard Physical Therapy.
“I experienced numbness in my pinkie and ring finger on both hands.
I had shoulder pain, especially when doing chest exercises.
Thoracic Outlet Syndrome.
The numbness in my finger has gotten better.
My shoulder pain is gone.
I can do chest exercises now without pain.”
Gordon
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“I was referred here by my doctor after other forms of PT had not helped.
I started seeing results immediately, which is unheard of based on my previous PT experiences.
Now I’m no longer in constant pain and feel well on my way to full functionality of my arm.”
Daniel
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RinardPT Monthly
|
Nick Rinard Physical Therapy
9700 SW Capitol Hwy Suite 140
Portland, OR 97219
Volume 6, Issue 3
April 2014
|
New Look, Same Great Care!
MDT of Portland is Now Nick Rinard Physical Therapy
With a new name and a new logo, we’ve had a lot of exciting changes. We hope that you like our new look, and rest assured that the changes stop there.
Nick Rinard Physical Therapy is committed to continuing to provide specialized McKenzie (MDT) based personal care for you and your loved ones-just like we have since we opened our doors in SW Portland, Oregon in 1999.
Nick, Natasha, and the entire Nick Rinard PT team are here for you!
Call 503-244-6232
for your Evaluation or Free Consultation
RinardPT patients get Results:
Don’t take our word for it
| “When I first came for PT, my lower back was very stiff & it was painful to do side-bends. I my lower back became fatigued from walking/running I would experience muscle spasms in my back.Now I can walk/run my normal 45 minutes or hike and I feel good-no spasms!”-Maureen 03/14/2014 |
“I was referred by my doctor after 6 weeks of going to another PT clinic with no results. I wasn’t hopeful that Nick Rinard PT would get any better results. After 4 visits, I could tell things were changing for the better. My pain while standing was a 10 at worst, down to a 3 at the end of my day. The people and staff are amazing and friendly. I loved how they put their ‘thinking caps’ on before they start. Thank you so much.”-Teresa 03/26/2014 |
FREE CONSULTATION COUPON
MENTION THIS COUPON AND SCHEDULE YOUR
FREE SCREEN TODAY
(503) 244-6232
In just 5-10 minutes, MDT can determine if your pain is mechanical or not. If so, we can help get you out of pain and back to enjoying your life.
Join the Walk to Cure Arthritis! We’ll Meet you There!
Saturday, May 17th in Vancouver, Washington
Nick Rinard Physical Therapy will be at the Health Fair from 9am-1pm.
Esther Short Park
Columbia St
Vancouver, WA 98660
- Choose to walk a 1 or 3 mile loop
Registration and more information at :
http://vancouverwalktocurearthritis.kintera.org/
Can’t make it? You can make a donation for the cause at the the link above to show your support!
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By Megan Plante, DPT
21 Mar, 2014
Clinical Case of the Week
BPPV, easily treated, improvement, MDT, Mechanical Diagnosis and Therapies, Mechanical disorder, Nick Rinard physical therapy, Physical Therapy, Portland Oregon, Positive response, vertigo
The most common cause of vertigo (dizziness) is benign paroxysmal positional vertigo (BPPV) and it is a mechanical disorder. A trained clinician can evaluate and treat this condition based off of the patient’s symptoms. The evaluation consists of moving the head into specific positions. Symptoms of BPPV include vertigo with change in head position, nausea with or without vomiting and disequilibrium (poor balance).
Curable
Vestibular System
BPPV is a curable condition affecting the vestibular system (inner ear). Your inner ear is comprised of 3 semicircular canals (SCC) and 2 otolith organs. These structures detect head movements (acceleration). Crystals called otoconia are embedded in the otolith organs. Sometimes, the crystals can become dislodged and misplace into the semicircular canals. The misplaced crystals result in increased sensitivity to head movements.
Hopes for a Positive Response
I was treating a patient for low back pain when she mentioned that she was experiencing severe episodes of dizziness. I informed her about BPPV and mentioned that the treatment was very simple and effective. She agreed to have an evaluation in hopes for a positive response.
My patient tested positive for BPPV utilizing the Hallpike-Dix test for the left semicircular canals. I also performed a few other tests and exercises to rule out other potential causes for symptoms. Once we had our diagnosis of BPPV, the treatment was very simple.
Improvement in just one week
I took my patient through a series of head movements that reposition the crystals back into the otolith organs (the saccule and ultricule). After performing the repositioning maneuver, baseline symptoms were decreased and she returned the next week without having any severe episodes of vertigo.
BPPV – A Common Vertigo that is Easily Treated
BPPV is the most common cause for vertigo. Luckily, it is very easy to diagnose and treat with a trained therapist. If you or someone you know has vertigo as a result from head movements, have a physical therapist evaluation so that you may start feeling better today!
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