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Wednesday, May 12, 2021

What to do when treatment stalls? Or you think you are getting worse?

     This is the common theme of so many of the emails and office visits I get. The proverbial plateau or back sliding is occurring. How can the patient climb out of this predicament? 
     You really have to look at every aspect of the treatment for the right answer. You have to make changes to a Plan that initially helped, but no longer is doing so. 
     Is there anything that seems to make things worse?
     Is there anything that I forgot to do (like contrast bathing due to the time required)? 
     Is there anything that I should add to the current treatment?
These additives, which I call the Big Guns, can be game changers. Since I tend to approach injuries or pain from the KISS principle (Keep It Simple Stupid), I usually have many game changers for my patients to choose from. 

     Every injury will then have 1, 2, or 3 game changers that vary by the injury and what has been previously done.  They normally are PT, custom orthotics, casting, cortisone shots, etc. The patient may need an MRI or CT scan to convince everyone that change is needed. Or change may need the patient complaining that positive change is not occurring. Yes, something must be done!!

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.