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Doing what we do best! Assessing and classifying patients! This patient presented w an asymmetric unilateral derangement...
26/06/2025

Doing what we do best! Assessing and classifying patients! This patient presented w an asymmetric unilateral derangement below the left knee! After a detailed neuro and ortho exam we were able to find a ! Symptoms all centralized and reduced !

We need to understand things a bit better when giving recommendations! This patient wo any radicular symptom and all axi...
27/05/2025

We need to understand things a bit better when giving recommendations! This patient wo any radicular symptom and all axial low back pain was seen at an outside clinic and had an done- which I’m ok w since she’s been suffering for 5 yrs! What I’m not ok with is a being ordered and the recommendation of an # ! What I am also not ok with is 2 attempts w an - no relief and then non-specific - which of course did not work ! This patient has changes 1. This does not need discography or esi- this need an explanation to the patient, a thorough history and examination and finally a and pain phenotype! Visit 1. Phenotype: nociceptive mechanical pain; Classification: central symmetrical ; : REIL w exhale sag. We centralized and then abolished symptoms that have been@present for 5 yrs! This is a mechanical condition that needs specific exercise/mvt. The patient did not fail- our medical system failed her! We educated her on and she’s less ravoidant

Posted with patient permission! We can see the lateral shift in the first picture and the obstruction to movement in the...
21/05/2025

Posted with patient permission! We can see the lateral shift in the first picture and the obstruction to movement in the first video w right sideglide and extension. The shows a central- right lateral protrusion. Visit 1-3 we had to clear the lateral component as it was relevant! History told us walking made worse, lying on back and stomach worse. We confirmed the relevance w sustained on elbows on visit one for 3 minutes and shift increase as did the pain . Visit 4 we are now at REIL so extension and no lateral exposed and motion increase as symptoms abolished . Visit 5 was recover of function and no obstructions or symptom w hep. Today - visit 6- was functional recover of function w beginning of functional loading ! The last video shows how we ended today’s visit! Happy patient ! Assess until there’s nothing left to assess!

Posted w patient permission..This is an update on image posted 2 weeks ago . Visit #3! Pt is reducing very nicely and h...
16/05/2025

Posted w patient permission..
This is an update on image posted 2 weeks ago . Visit #3! Pt is reducing very nicely and he notes best he has felt in 5 months! In the first video you can see obstructed extension and minimal right sideglide and slight left lateral shift! After 7x15 of REIL extension, right sideglide increase and no shift. We are still keeping a close eye on neuro and surgical team is ready to go if anything changes! We do have a very happy patient !

Hello Wednesday! What did you see in clinic today? Who did you / ! Were you able to take a detailed hx and exam and cor...
08/05/2025

Hello Wednesday! What did you see in clinic today? Who did you / ! Were you able to take a detailed hx and exam and correlate the findings! Were you able to calm the patient down when they saw their images and read the impression ? I hope you were able to rule out all . Is the condition reducible or irreducible? We were able to find a today- but how will this patient respond over the next 24 hrs? We reached out to team and discussed in case we need to move quickly! always works- it’s an assessment!

This gentleman began to have right leg pain and over the last 6 months. shows L4-5 degenerative spondylolithesis wi...
25/04/2025

This gentleman began to have right leg pain and over the last 6 months. shows L4-5 degenerative spondylolithesis with severe degenerative stenosis! Explained the pathology in detail to the patient! Explained we are not going to “fix” the seen condition though if we can and abolish his symptoms- well that’s all that matters ! Once again we are not treating the images- instead we are moving the patient to find a directional preference and centralize .
He centralized and decreased all his symptoms w extension in standing! Yes. We extended a patient / we took a detailed history and exam to understand how his symptoms behave.
Our surgical teams appreciates the of - we will assess and treat about 8 visits- if no lasting benefit or worse then off go surgical consult !

Unfortunately for this young athlete she had to experience the symptoms of . Though she was very fortunate to be in ...
23/04/2025

Unfortunately for this young athlete she had to experience the symptoms of . Though she was very fortunate to be in our system . Upon examination and imagining she was in surgery with one of our great . All red flags abolished and now we are working on physically though just as important mentally. Part of our job now is to introduce adl and fdl while decreasing fear avoidance while gaining confidence .

This is a “Do Not Miss” weekend! I’ve known, studied and taught with .winchester for 22 years now! Even after thousands ...
23/04/2025

This is a “Do Not Miss” weekend! I’ve known, studied and taught with .winchester for 22 years now! Even after thousands of hrs sharing the stage with him I still take pages of notes when he lectures! If you want clinical pearls for Monday mornings- then do not miss this weekend

Link in my bio

Come meet at the University of Pittsburgh to learn all about Pain and how to approach it clinically from my good friend ...
23/04/2025

Come meet at the University of Pittsburgh to learn all about Pain and how to approach it clinically from my good friend

Link to register is in my bio

22/04/2025

MOR is relocating its Oak Park clinic to a new, state-of-the-art facility in Chicago’s Galewood neighborhood.

We must always remember to treat the patient and not the images! This shows a far lateral left disc pathology as seen ...
21/04/2025

We must always remember to treat the patient and not the images! This shows a far lateral left disc pathology as seen on the above images. In the conservative world some might leave the sagittal plane and or may never go sagittal! Is this a lateral component? Yes it is- the symptoms correlate as do the images! The BIG QUESTION IS: Is it a RELEVANT LATERAL?? Well by moving the patient into extension we will reveal the answer! It’s no different than a repetitive test! By using repeated extension we will : 1 reduce a posterior/posterior-lateral derangement; 2. Expose a relevant lateral and then move the patient to reduce it outside of the sagittal plane; 3. Less commonly seen- remodel an extension dysfunction ! The patient reduced today w extension in lying w belt overpressure! Let’s see how he returns in 48 hrs …

Address

IL

Opening Hours

Monday 07:30 - 17:00
Tuesday 07:30 - 17:00
Wednesday 07:30 - 17:00
Thursday 07:30 - 17:00
Friday 07:30 - 15:30

Telephone

+13124322344

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