I have had two shoulder episodes and three back episodes managed using MDT by Dr Mark Miller at Integrated Mechanical Care. My most recent back episode was the same as the two prior ones. I remembered the intervention Dr Miller taught me and my pain was resolved in two days via self-management. They don't merely address your current episode. They teach you how to deal with future episodes in conditions that are usually recurrent. I had experienced these symptoms and the usual care route. Standard PT for my shoulder discomfort was terribly painful and ineffective. My symptoms only resolved with a steroid injection. Worse, there was a small rotator cuff tear and they had begun to discuss surgery. I don't even remember now which shoulder was involved, so obviously I did not need surgery.
I could not raise the impacted arm out to the side in a standing position beyond 40% without terrible pain. That was one of the test maneuvers. Dr. Miller saw that one motion and told me that the problem was not in my shoulder, it was in my neck He had me put my hands under my chin and bend my neck backwards as far as I could 8 times. With that one exercise I could raise my arm by 70% and by repeating it 3 times a day in 10 days I was well. Primary care doctors, nurse practitioners, PAs, chiropractors, and other physical therapists can learn these fundamentals quickly and then refer the most difficult cases to an MDT specialist. MDT first-before MRI-relieves symptoms and restores function more quickly while saving payers up to 50% per episode on average. A primary care team can do this very well in rural and small town America. What are you waiting for?
I have had two shoulder episodes and three back episodes managed using MDT by Dr Mark Miller at Integrated Mechanical Care. My most recent back episode was the same as the two prior ones. I remembered the intervention Dr Miller taught me and my pain was resolved in two days via self-management. They don't merely address your current episode. They teach you how to deal with future episodes in conditions that are usually recurrent. I had experienced these symptoms and the usual care route. Standard PT for my shoulder discomfort was terribly painful and ineffective. My symptoms only resolved with a steroid injection. Worse, there was a small rotator cuff tear and they had begun to discuss surgery. I don't even remember now which shoulder was involved, so obviously I did not need surgery.
I could not raise the impacted arm out to the side in a standing position beyond 40% without terrible pain. That was one of the test maneuvers. Dr. Miller saw that one motion and told me that the problem was not in my shoulder, it was in my neck He had me put my hands under my chin and bend my neck backwards as far as I could 8 times. With that one exercise I could raise my arm by 70% and by repeating it 3 times a day in 10 days I was well. Primary care doctors, nurse practitioners, PAs, chiropractors, and other physical therapists can learn these fundamentals quickly and then refer the most difficult cases to an MDT specialist. MDT first-before MRI-relieves symptoms and restores function more quickly while saving payers up to 50% per episode on average. A primary care team can do this very well in rural and small town America. What are you waiting for?