RB: Left Low Back Pain with h/o scoliosis, Right hip and knee replacement: Waiting in person PT Eval (2-5-19)

Hello Rita

• 4-4 UPDATE SEE BOLD BELOW
  • WALL HEELRAISE
• 3-14 Update
  • Step Lunge: Lightly
  • Pullover with 5lbs
    • REPLACE WITH THE BAND PULL DOWN IN STANDING: I SHOW IT ON ONE KNEE BUT YOU CAN DO IN STANDING
• 2-19 Update
  • In addition to the movements below I gave you the following 2 movements on your back to try morning and night: 5-15 reps of each 2 sets
    • Movements 1: kicks to the ceiling
    • Movement 2: bridge
  • In standing we talked about trying to break the habit of your shoulders dropping to the side with a weight shifting maneuver with your right leg infront: NO WEIGHT YET
• Based on Dr. Ramirez DelToro’s exam, I would like to give you a couple movements to try in an effort to take some pressure off of your low back. The basis for these movements comes from a Treatment known as the Schroth technique. I want to begin by giving you some movements that promote lengthening of the spine If any of these movements cause pain, try not to go as far or hold off on that particular movement. I would like you to do these movements gently but attempt to mix them into your day as they do not require any equipment
• Movement #1: I discuss postural correction standing at the counter and sitting
  • I am not with you to see specifics of your curve but I want you to think about staying up tall while going through some of the breathing I describe
  • Try just being in this position for minimum of a minute but more like 2-3 minutes if you can
• Movement #2: Lengthening the spine
  • rocking heel to toe
  • Can be done lightly and frequently throughout the day
• Movement #3: Glute activation
  • This is an option to get some muscle activation in your hips while trying to keep your back supported
  • Be careful with this one and if it hurts don’t do it
  • Ideally you can do it 1-2x per day trying to get 5-10 reps each leg holding each lift 5 sec