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Physical Rehabilitation Medicine/Questions
| Subject | Date Asked | Expert |
| Blood flow for injujred toe | 2/10/2012 | Brian Neville, OTR/L, CHT |
| Q: I hyperextended my big toe playing basketball which led to some swelling but not a lot, and minor ... A: Interesting question, I don't think I've ever been asked this. Ok, in theory you are correct, if ... | ||
| occipital release tool | 2/10/2012 | Rachel Katz, PT, SEP |
| Q: I have had off and on right sub skull cervical pain which at times will extend down to midscapula ... A: http://shop.barralinstitute.com/Patient-Info/Still-Point-Inducer Here's a link to the product page ... | ||
| occipital release tool | 2/10/2012 | Rachel Katz, PT, SEP |
| Q: I have had off and on right sub skull cervical pain which at times will extend down to midscapula ... A: Your pain description includes your right arm. The right arm should not be influenced by the right ... | ||
| Chest pain for 1 year | 2/1/2012 | Rachel Katz, PT, SEP |
| Q: A year ago after a period of increased activity. My son broke his leg and I was lifting his ... A: It sounds to me like you have a spasm in the muscle layer that is deeper than the pec muscles. You ... | ||
| Shoulder Pain | 2/1/2012 | Brian Neville, OTR/L, CHT |
| Q: Hey hello there.I've been having shoulder pain after sparring at a boxing gym about 6 months ago ... A: Geez I really don't know! If all films are negative then it's hard to say. If I had to guess...you ... | ||
| Ongoing right foot problems. Who do I see? | 1/31/2012 | Rachel Katz, PT, SEP |
| Q: I have multiple problems of the right foot. Both ankles have always been kind of unsturdy (turning ... A: Several thoughts come to mind. First I'd want to know if you've had actual nerve damage because you ... | ||
| Radial Neck fracture and hand/wrist pain | 1/31/2012 | Rachel Katz, PT, SEP |
| Q: Is this pain and limited ROM in the hand and wrist normal? I can't even squeeze my toothpaste tube. ... A: It is always good to ask your doctor questions such as: 1.) Do I have any restrictions on using my ... | ||
| Radial Neck fracture and hand/wrist pain | 1/30/2012 | Rachel Katz, PT, SEP |
| Q: Is this pain and limited ROM in the hand and wrist normal? I can't even squeeze my toothpaste tube. ... A: Sorry about the fracture location misunderstanding. That's generally a better place to have a ... | ||
| Lumbar surgery | 1/30/2012 | MMAR Bandara |
| Q: ..about 6 weeks ago I had Lumbar Discetomy for herniated discs.My main problem was tingling in calfs ... A: I need some information than this. Could you please let me know in which level did they do the ... | ||
| Radial Neck fracture and hand/wrist pain | 1/30/2012 | Rachel Katz, PT, SEP |
| Q: Is this pain and limited ROM in the hand and wrist normal? I can't even squeeze my toothpaste tube. ... A: A fractured wrist is a difficult area to regain function in. You really do need the help of a ... | ||
| Broken Fibula Recovery | 1/30/2012 | MMAR Bandara |
| Q: My son broke his fibula on Oct 1st 2011. It's been nearly 4 months now on his recovery. If he runs, ... A: Fibuler fracture is not a serious one. After fracture it will take nearly 6 to 8 weeks to heal ... | ||
| Elbow surgery recovery | 1/27/2012 | Brian Neville, OTR/L, CHT |
| Q: On Jan 05 2012 I had elbow surgery on my left elbow after a fall off a ladder at work. The surgeon ... A: Sorry for the delayed response. Ok...elbow rehab can be tricky. It deals mostly with the patient ... | ||
| mallet finger left untreated | 1/26/2012 | Brian Neville, OTR/L, CHT |
| Q: Two months ago a had a mallet finger injury. I didnt recognise it in the beginning so i left in ... A: No your finger will not straighten up on its own when the swelling goes down. You need a splint ... | ||
| Hamstring, Quadracept weakness | 1/25/2012 | Rachel Katz, PT, SEP |
| Q: my father is 89 years old. He is active as possible but he uses a cain to get around. I notice that ... A: You are thinking along helpful lines. I would also add that the gluteus maximus which is the primary ... | ||
| use of Artromot after knee operation | 1/19/2012 | Brian Neville, OTR/L, CHT |
| Q: My daughter 12 y.o. damaged knee (fracture of intercondylar [intermediate] eminence; front right; ... A: If this is the case then I would get try your best to get in touch with her surgeon in Europe. I ... | ||
| use of Artromot after knee operation | 1/19/2012 | Brian Neville, OTR/L, CHT |
| Q: My daughter 12 y.o. damaged knee (fracture of intercondylar [intermediate] eminence; front right; ... A: First of all I'm not a knee expert by any means...secondly I'm not familiar with an Artromot but I ... | ||
| Pain following 3 surgeries | 1/18/2012 | Rachel Katz, PT, SEP |
| Q: I am an otherwise healthy 23 year old female. In the past 6 months, I've had 3 surgeries. The first ... A: I hope I can help you out. I’m not exactly clear where the first lipoma surgery was. It seems from ... | ||
| mallet finger | 1/12/2012 | Brian Neville, OTR/L, CHT |
| Q: I have had a mallet finger and it has been splinted for 5 weeks, due to come off in 3 weeks time ... A: Here's the deal - be patient. If you take that splint off too soon (anything less than 8 weeks at ... | ||
| biceps tendon tear | 1/9/2012 | Brian Neville, OTR/L, CHT |
| Q: Brian, You had answered a mans question about a partial bicepts tear on 4/30/2011. The mans ... A: To answer your questions: 1. The tendon will scar in, hopefully strengthening itself allowing you ... | ||
| Physical Therapist's and Pharmacology | 1/8/2012 | MMAR Bandara |
| Q: What are the boundaries, if any in the state of Georgia licensure board that pertains to a physical ... A: I don't know to tell anything regarding State of Georgia because i am a Sri Lankan. There is no any ... | ||
| Bruised/sore ribs/ or chest mescle pain | 1/5/2012 | Brian Neville, OTR/L, CHT |
| Q: Yesterday I tripped and fell and hitmy chest. Right afterwards I felt some soreness in my chest. ... A: This is also outside my expertise but the answer is kind of easy. If it doesn't get better within ... | ||
| thumb therapy | 12/20/2011 | Brian Neville, OTR/L, CHT |
| Q: I cut my tendon and nerve on the top part of my thumb where it bends 2 months ago. This past ... A: Well let's see...sounds like you cut the sensory branch of the radial nerve and had an EPL (extensor ... | ||
| Peripheral neuropathy | 12/2/2011 | MMAR Bandara |
| Q: My father is suffering from peripheral neuropathy. He experiences numbness in feet. What kind of ... A: I feel the main problem is the diebetes. You didnt mention his age. Anyway he can be given a good ... | ||
| Wrist surgery recovery | 11/29/2011 | Brian Neville, OTR/L, CHT |
| Q: 10 days ago I had wrist surgery. I have been applying ice on different sore spots. Should I apply ... A: If you have swelling and have been immobilized and/or told by your physician to rest and limit ... | ||
| Peripheral neuropathy | 11/29/2011 | MMAR Bandara |
| Q: My father is suffering from peripheral neuropathy. He experiences numbness in feet. What kind of ... A: The details you have given are insufficient to give a clear answer. pl let me know the followings. ... | ||
| Post femur fracture limp | 11/25/2011 | MMAR Bandara |
| Q: On Sept. 28, 2011 my 9 year old son Jacob suffered a spiral midshaft fracture of his left femur when ... A: In X ray i can see the callous has been formed well. But i feel the femur is slightly curved in its ... | ||
| Swollen side of body | 11/22/2011 | MMAR Bandara |
| Q: A little over a month ago I had fallen and landed hard on my left side. I was left with heavy ... A: You have mentioned that there is no fracture on your injured site. You could have applied ice at the ... | ||
| skin graft | 11/21/2011 | Brian Neville, OTR/L, CHT |
| Q: ANSWER: Skin graft programs, in general, are designed to prevent joint contractures from occurring. ... A: Well...sure you can but the question is should you?! First of all you have a healing graft ok...the ... | ||
| skin graft | 11/21/2011 | Brian Neville, OTR/L, CHT |
| Q: hi may i know what physical therapy program can be done for a skin graft patient in general ? A: Skin graft programs, in general, are designed to prevent joint contractures from occurring. In ... | ||
| Follow up question | 11/20/2011 | Brian Neville, OTR/L, CHT |
| Q: As of now, I'm past 2 weeks into my rehab and now night splinting. The sensitivity pain has started ... A: Yes neuropraxia simply means that you have had nerve irritation. It should get better with time. ... | ||
| Mallet Finger recovery | 11/11/2011 | Brian Neville, OTR/L, CHT |
| Q: 2 months ago, I got mallet finger on my right ring finger from catching a football. I went urgent ... A: I doubt you would have received nerve damage from the mechanism of injury that you described. The ... | ||
| From the beginning. | 11/11/2011 | Brian Neville, OTR/L, CHT |
| Q: What kinds of physical therapy would occur for an adult in their 20s to 30s who recently had several ... A: Hmm...there's one I haven't heard before. I would recommend NDT or PNF styles of rehab. An ... | ||
| Right Index finger Laceration | 11/9/2011 | Brian Neville, OTR/L, CHT |
| Q: 2 months ago I received a kick to my right hand during a game of basketball, and it tore open an old ... A: The scar tissue is fragile, as you know. Particularly since the mechanism of injury when you were a ... | ||
| Untreated compression facture | 11/8/2011 | Brian Neville, OTR/L, CHT |
| Q: 13 years ago i fell down the stairs and suffered a compression fracture to the thoracic spine. It ... A: This really isn't my expertise however I will give you my opinion. You probably had improper ... | ||
| Severe Shoulder | 11/6/2011 | Brian Neville, OTR/L, CHT |
| Q: An MRI on my R shoulder revealed 3 of the 4 rotator cuff muscles are completely torn, torn Labrum, ... A: It sounds like you need to take the advice of your surgeon on this one. Geez! I don't know ... | ||
| PNF and Brunnstrom Methods | 11/3/2011 | Brian Neville, OTR/L, CHT |
| Q: When it comes to methods to help patients rehabilitate after a stroke, What do the Brunnstrom Method ... A: I have to be honest...I've spent so much time on the acute side of upper extremity rehab that I'm a ... | ||
| shoulder injury | 11/3/2011 | Brian Neville, OTR/L, CHT |
| Q: I fractured my greater tuberosity, right shoulder in February. In March I had 2 screws implanted ... A: Yes it would be worth doing. You can ask him about a "manipulation" which is done under anaesthesia ... | ||
| fracture/dislocation of the wrist | 10/30/2011 | Brian Neville, OTR/L, CHT |
| Q: I have just read the post/email to you from 'Rose' on the 25/6 about her husbands wrist and hand ... A: Have you sought another opinion from a hand specialist? 3 procedures in 9 months is never an ... | ||
| help | 10/29/2011 | Brian Neville, OTR/L, CHT |
| Q: I work in a big store of clothes here in Guatemala: In the morning some men bring 40 bigs boxes and ... A: Sitting is ok but waist high is probably best. Make sure you don't try to lift too much at one time ... | ||
| fracture base 5th metacarpal | 10/21/2011 | Brian Neville, OTR/L, CHT |
| Q: I had a fracture of my right hand five weeks ago. I had a cast for three weeks but my hand is still ... A: I'd recommend you see a hand specialist and he/she will likely order a splint. In particular, you ... | ||
Physical Rehabilitation Medicine
Answers by Expert:
Brian Neville, OTR/L, CHT
Top Expert on this page
Expertise
I can answer questions about both conservative and post-operative rehabilitation for upper extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of upper extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well.
Experience
10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.
Organizations
Kentucky Occupational Therapy Association
American Society of Hand Therapy
National Nurses in Business Association
Education/Credentials
Occupational Therapist
Certified Hand Therapist
Deep Physical Agent Modalities Instructor
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