Telehealth Physical Therapy Case Study. Telehealth for Back Pain, Sciatica & Neck Pain. COVID-19

telehealth

What is Telehealth?

Telehealth is a version of healthcare that doesn’t require you to go anywhere. It requires social media platforms that feature video calls such as zoom, facetime, etc. It’s a face to face interaction. However, there is no actual consultation. 

It is more of a discussion of what’s going on. This is our immediate future. Right now, with the Pandemic going on, telehealth is our only option to help people.

Doctors are at the point where they won’t be able to help you when you’re having back pain, neck pain, etc. They can’t allow you to come into them for the sake of your safety and their facilities.

What to do when you’re having this kind of pains?

Telehealth session is a way that you can get together and listen to what’s going on with problems that are arising and come up with a plan to help.

I have this client who’s been at home for about four or five days. She has a peloton bike that she’s been riding every day. She’s walking and exercising more than usual because she’s not working. In that process, she started getting a little bit of zing into her arm from her ulnar nerve.

She started getting this into her sciatic nerve from being on the bike. She wanted to take the virtual classes but can’t because she’s flared up. So, she set up a 15-minute appointment. That 15-minute appointment ended up stretching until about 30 minutes.

We took a brief movement assessment of her neck and her back. By doing that I could figure out immediately what was going on with her.

Aside from what I already know about her and her history, I listened and watched her move through video conference, she told me what she’s been doing in the time while she's been away at home during quarantine. 

And I was able to determine some things that are not moving correctly and not in the proper situation. So, I gave her a few cues and tips to do and she did them right there:

Exercises with a ball and a foam roller that took 5 minutes.

  • Basic spinal motion
  • Spinal flexion
  • Spinal extension
  • Side bending
  • Rotation
  • Quadruped head position
  • Sitting position

I took her through exercises that I would normally teach people in my clinic. Within that 30 minutes, she was able to get up and feel completely comfortable. She felt better. The pain that she had been experiencing from being on the bike was gone.

I got her out of the place of fear when I let her know that she can move. The pain that you’re feeling comes from stress. It triggers that pain until all of a sudden, you won’t be able to move because you think the movement is bad.

Well, here’s the thing, movement is what you need to do when you’re in pain. It’s us that guides you to move correctly with the curative exercises and measures that you need for your situation.

There is no need to be scared on what to do and how to handle things because we are still here to serve you and to help you. Moving your spine and getting your back strong are very important things that we can do at this time.

We are still able to help you even if you can’t go outside your house. This is what Telehealth is for.

Stephen Dunn

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