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Old 11-29-2012, 08:11 AM
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fmichael fmichael is offline
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Join Date: Sep 2006
Location: California
Posts: 1,239
15 yr Member
fmichael fmichael is offline
Senior Member
fmichael's Avatar
 
Join Date: Sep 2006
Location: California
Posts: 1,239
15 yr Member
Default look for a "DPT"

Hi. All these comments make good sense. Let me just add one of my own

I had mixed results with PT (at best) for something like 9 years, off and on, until my neurologist sent my to a new office. Turns out that they - along with a number of other practices in LA - now hire only those therapists who have the 4-year, post-graduate degree of Doctor of Physical Therapy (DPT).

And it makes all the difference in the world! These folks have spent time in school doing actual cadaver studies and have an incredible knowledge of neuro-anatomy. In contrast, most PTs are trained to approach every problem in terms of muscular-skeletal injuries, so they immediately default to "strength-training," which does more harm than god in treating people with CRPS, save and except that they are in fact mobilizing their injured limbs. In contrast, my DPT oriented her work around "nerve gliding exercises." Turns out that nerves constrict under the barrage of constant pain as much or more than muscles. And after a couple of months, spasms that had been debilitating for years were suddenly under control!

So, no offense to your PT, but you need someone with one more letter in their title. RSD/CRPS is first and foremost a neurological disease. And you need a therapist with an understanding of nerves. (And at least from my perspective, 11+ years on, it's a no-brainer.)

Mike
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birchlake (11-29-2012), catra121 (11-29-2012), SandyRI (12-01-2012)