Technique Tuesday 8- Hip Hinge

Hi all

This post is for everyone. Technique Tuesday 8 explores hip hinging. Learn to move and lift correctly from the hips to avoid excessive pressure on the low back. I do want to mention that arching from the lower back to bend forward is not going to blow out your back, this is a natural movement. However, if you do it repeatedly, over and over again (due to work or any other reason) or you lift heavy weights with that posture, you could increase the chances of injuring your lower back.
Here you go-

Until next time

Pursue excellence

Abhijit Minhas PT

(BPT, MS, CMP, FMT)

Technique Tuesday 7- Hip abduction in side lying

Hi everyone,

Here’s the latest edition. You know the drill.

Until next Tuesday or a new post

Pursue excellence

Abhijit Minhas PT

(BPT, MS, CMP, FMT)

Shoulder Impingement- External Vs Internal

Hi all

This blog post is dedicated to my clinical thought process when assessing patients with suspected shoulder impingement. I have broken it down to three different videos with explanation. Hope it helps.

  1. In this video, I describe shoulder impingement and its types-

 

 

2. Here I discuss different causes for different kinds of shoulder impingement-

 

3. In this last video, I discuss certain examination points specific to the conditions like subjective history, site of pain & special tests-

 

 

What are your thoughts on this topic? Did I miss some points that you incorporate in your assessment and clinical reasoning? Comment on either WordPress, Facebook, instagram or YouTube to start a discussion. Also, follow me on these platforms for more physiotherapy and rehabilitation related content.

Until next time

Pursue Excellence

Abhijit Minhas PT

(BPT, MS, CMP, FMT)

 

Postural Correction to prevent neck pain

Hi all

Since most of us are working from home on our makeshift workstations/couches etc there are too many sore necks and backs going around. Here’s a new video to hopefully keep you away from those statistic. Hope it helps.

Until next time

Pursue Excellence

Abhijit Minhas PT

(BPT, MS, CMP, FMT)

 

Technique Tuesday 5 – Bridging exercise

Hi Everyone

Hope you all are safe during these difficult times. Here’s the next edition of #technique Tuesday for you all. I’ll let the video do the talking.

What are some cues that you like to use? Lemme know in the comments.

Until next time

Pursue Excellence

Abhijit Minhas PT

(BPT, MS, CMP, FMT)

Median Nerve Neurodynamics Part 2- Home Exercises

Hello

Following up on my blog post last week (which you could find Here), in this blog post I put forth some Median nerve Neurodynamics home exercises. The general principle remains the same for me. Start slow, try to keep the exercises pain free/threat free if possible or at least to a minimum with head bend to the same side slowing progressing to head neutral and eventually away from the side that is being stretched. I start with sliders and then progress to tensioners.

If any of the exercises increase pain levels, I instruct my patients to either go gentler and if that does not help, I ask them to stop.

Enough said, here are some videos-

1. Unilateral exercises with nerve mobilization @ the wrist level-

2. Unilateral exercises with nerve mobilization @ the shoulder and the fingers-

3. Unilateral exercises with nerve mobilization @ the elbow with head neutral and slowly progressing to sliders.

(Starting position is shoulder abduction not flexion as mentioned in the video, sorry for the error but you knew that).

4. Unilateral exercises with nerve mobilization @ the elbow level with sliders and tensioners –

 

 

5. Bilateral exercises like the prayer stretch, butler’s busy bee-

 

 

I would love to know some of your favorite exercises, tweaks and variations. That’s all I got for this post. Keep fighting the good fight. Until next time.

Pursue excellence.

Abhijit Minhas

(BPT, MS, CMP, FMT)

Considering a Physio Career Abroad?

Hola

We are shifting gears for this one. I have received too many questions from students/physios aspiring to pursue Masters/Career in Physiotherapy in the US/Canada etc that I feel I have a duty to oblige.  It has also become extremely difficult to answer the same questions over and over again so I will try to cover some of the most common and pertinent questions in a FAQ format. Here goes-

  1. What are some of the best colleges to pursue masters in sports/ortho/etc physiotherapy in US/Canada?

Most of the colleges in the US offer a 3 years DPT program which is a Doctor of physical therapy program. This is an entry level program which means that this is the minimum degree of education that one must have to practice as a physio. So the DPT is like our BPT program. There is no specific university which offers just sports/ortho/cardio-resp etc training. Depending upon which school (college) one gets admitted into and upon the interests of their professors, there can be some emphasis on some specialization but all in all this program covers the basics that one need to practice physiotherapy safely. To get better in your preferred field will require you to take CME/CEU’s (continuing education), work experience working in your field, internships etc. Also, there are hardly any programs in the US that offer Masters anymore. Canada has Masters in physiotherapy but that is an entry level program as well and will mostly cover topics we have studied in BPT already. The Canadian masters is a two year program

2. Is Masters in exercise physiology/Kinesiology (KIN) similar to a Masters in physiotherapy?

No, its a different field and a different profession. There is a lot of overlap in terms of what we learn. However, we have a broader scope of practice than a kinisiologist/ exercise physiologist. While, passing the NPTE exam in the US and the PCE in Canada is a mandatory requirement to practice as a physio; to practice as a KIN/ exe. physiologist one does not require to pass a national exam. Some gold standard certifications which might give one an edge are ACSM, ACE, NASM, PES etc. An exception here is the CSCS which is required to practice as a Strength and Conditioning Specialist. Please refer to my previous blog (Masters in the USA- Are you confused? Part 1) and MASTERS IN THE USA- Are you confused? Part 2 to know more about these fields/programs.

3. Can I practice as a physio after a Masters in exercise physiology degree?

You could take a masters in fine arts or business degree but as long as you have a Bachelors in Physiotherapy and pass the board exam you can practice as a physio.  YOUR MASTERS HAS NO INFLUENCE ON YOUR ABILITY TO PRACTICE AS A PHYSIOTHERAPIST (in Canada). However, recently US has changed its requirements to practice as a Physical therapist. Please check with FSBPT (Here) and NYSED (Here) for more details.

4. Is the NPTE/PCE very difficult?

While I haven’t given the PCE yet, it is somewhat based on the NPTE from what I hear. Yes they both are difficult but not impossible. Many international physios have passed this test. It requires a lot of hard work and dedication but its doable. The PCE has two parts, written and practical. The written component has 200 MCQ’s passing which one can appear for the practical. The NPTE is a 250 MCQ format exam. The hard part here for us is getting tested in a MCQ format rather than a essay format that we are used to.

5. What is the average salary of a physio in the US/Canada?

It depends. On a lot of things. Ones preferred practice setting, overall work experience,  North American work experience, language proficiency, interpersonal skills,  certifications after college, location, immigration status(unfortunately) etc. Pediatric physios working with children with disabilities in schools are  most likely compensated more than an outpatient physio. Depending upon where you practice salaries will change. Generally speaking, Physios in NYC have higher salaries than in physios in Idaho or West Virginia. Or in Canada, Physios in Alberta might make more than physios in Quebec. On the flip side if you take up a contract in the North Western territories up north in Canada where it gets very cold, you most likely have a higher salary than a physio working in Toronto. But to give you a rough estimate, a new grad physio or a new internationally trained physio can expect a starting salary of $32/hr as a starting point in both US/Canada in outpatient setting. Again, these number vary depending upon all the factors I mentioned above. I have added some links here to help you navigate this topic. Find them HereHere and Here. Again, at the cost of sounding repetitive, these are some estimates, use them as a guide.

I’d love to hear your feedback on this one. If I get a good response and more questions, Ill make this into a series of blog post. So send me your questions here.

In the mean time..

Pursue excellence-

Abhijit Minhas

(BPT,MS,CMP,FMT)