LS: Golfer with Back Pain: SHOSA Patient Telemedicine Home Program (4-1-20)

4-8-20
- Updated Program based on our visit
  - Light Sequence: This can be done multiple times a day to decrease tightness
    - 55) Deep Neck Flexor with Thoracic Extension Seated and Foam Roll VIDEO
      - Foam roll can be done often throughout the day, 2-3 spots 5-10 reps
    - 31) Puppy Pose Progression VIDEO
      - This can also be done lightly but often 10 reps
    - 35.1) Supine Knee to Chest VIDEO
      - Resist knee with hand
      - hold each 5 sec
  - Everyother day mix in the movements below 1x/day
    - 56.1) Lying Down Weighted Pullover Feet Elevated VIDEO
      - We did this with feet in the air to engage abdomen more
      - 8-15 reps
3-31-20
- Telemedicine visit
  - We discussed disc related pain compared to muscular pain
  - Excessive sidelying rotation potentially irritating symptoms
  - Updates to program below
  - Use of inversion table is an option with 1 minute rest and 1 minute slightly below level for total of 5-15 minutes. Can gradually lower into greater degree of inversion but be careful it is not creating excessive back arch
- Daily Movements
  - Can be done 2-3x per day, 10-15 reps for each
  - 105.1) Pelvic Clock Progression into Bridge VIDEO
  - 18) Puppy Pose Progression VIDEO
- Strength Movements: 8-15 reps for each, you can go through the cycle of movements 2x
  - Complete Every Other Day
  - 115) Double Leg Bridge Phase 3 VIDEO
  - Lunge Slide Options
    - 160.1) Reverse Lunge Doorway Slide VIDEO
    - 161) Reverse Lunge Towel Slide VIDEO
  - 56.1) Lying Down Weighted Pullover Feet Elevated VIDEO
  - 141.3) BAND FLY IN LUNGE VIDEO
    - This is the new one that begins to mimic some rotation
    - Start off just holding position and moving from the shoulder