WEEK 5 POST 3

Well this is my final post, Sorry its taken so long Jodie and Jo, i didn't realise i hadn't completed it untill i checked my email!!!
Today i performed treatment on a 16 year old boy with extensor tendinopathy. He had limited range of movement in extension, although there was only pain on resisted extension with radial deviation, third finger extension and power grip, there was no pain with unresisted extension. My supivisor decided that we would perform, deep tissue massage with triggerpointing to ECRB and ED, dry needling * although it would have been cool to perform this, my supivisor took over there :P* interferential therapy and also that we would give him some home exercises to stretch out his extensor tendons and strengthen them with some excentric loading.
I performed DTM ( deep tissue massage) with triggerpointing to his extensor tendons , and i progressed it with placing the extensor tendons in a more lengthened position, ie with his wrist in a flexed position. I felt that after treatment although he seemed a little sore, he was able to gain more movement; my supivisor then decided that dry needling the tendons would also be benificial.
On application of the interferential modalitiesi found it difficult to place all the electrodes around his arm without allowing them to touch eachother!. as the forearm is quiet a small area, i later asked my supivisor who said that placing the channels furthur down the forearm is still acceptable as long as the current is still going through the muscles. I still believe that the treatment was successfull.
Teaching the boy the exercises was easy enough as he seemed co-operative and willing to learn. however weather he will do them or not is left to be seen!!!.
In addition to this; on my final day i went to the gym!. My supivisor took me to the gym to look at a patient that he was performing a shoulder rehabilitation for. it was really interesting to see the last stages of rehab; as most of the time while i was in this practice i would only see the initial acute stages, most people managed themselves after a while and it was interesting to look at the different exercises that were prescribed. most being shoulder external rotation, internal roatation abduction and scapular setting with loading sorts of exerecises.
anyway thanks for reading!