Terry Rehabilitation & Testing | Physical Rehabilitation and Functional Testing

Discharge Report

I initially started on Twitter adding Tweets when a patient was discharged. Those became a little tedious and didn’t convey the information properly. From here on out, I’m going to try to do a weekly “Discharge Report” to describe what we’re doing.


My first new patient of the week was one of the first I was able to discharge this week. Benign Paroxysmal Peripheral Vertigo (BPPV) can be a very disabling problem. There are many potential reasons for someone to be dizzy, but if BPPV is your problem, it can usually be fixed in one visit. Most of the evaluation is spent screening for other neurologic conditions that could be causing the dizziness, such as stroke.

In his case, the problem was a posterior canalisthiasis, corrected by a canalith repositioning maneuver. The direction and progression of the movement is dictated by the direction and type of nystagmus (eye movements) during a Hallpike-Dix testing maneuver.

Mechanical Low Back Pain (MLBP) – Extension Responder

In this case, the back pain was chronic/intermittent, meaning that he has experienced severe pain on and off for decades. This episode was not clearing up like it normally does, and each episode was becoming more painful and lasting longer.

His examination revealed that his back was very stiff and had very limited movement in the direction of extension. Working on this, using progressively more force each visit, eliminated his pain and allowed him to go back to lifting, bending, and squatting without problems. I also addressed basic core strength training and the flexibility of the muscles surrounding his hips, which can contribute to back pain. He’s now out of pain and ready to do basic troubleshooting to reduce or eliminate his pain quickly, before calling for medical attention, if/when it comes back.


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Terry Rehabilitation & Testing | Physical Rehabilitation and Functional Testing