APTA 2015 Orthopedic Sectional meeting

Posted On: May 30, 2015

I am Dr. David Johnson a chiropractor and physical therapist in Highland Park and Lake Bluff. I am the director of North Shore Spinal and Sports Rehabilitation. I started as a chiropractor in Lake Forest, Il in 1988. I integrated physical therapy into my practice in 1990.

I had the good fortune to attend the 2015 Orthopedic Sectional meeting of the American Physical Therapy Association in Arizona. The conference was attended by about 140 physical therapists.

As the Director of Clinics at North Shore Spinal and Sports Rehabilitation I feel it is important to keep my skill set on the cutting edge. It is also important for me to share the information with the clinicians that work under me so we can deliver the best care to our patients.

There were many fine lectures but of all the lectures I attended I enjoyed two in particular. The first was a lecture by Dr. Tara Jo Manal who lectured on protocols developed at the University of Delaware for the rehabilitation of the Total Knee Arthroplasty (a knee replacement or TKA). What struck me the most about this lecture was how well designed and organized their protocol was with regards to reaching certain clinical milestones in a timely fashion before moving onto the next. She was particularly good at emphasizing what she had seen in practice and sharing how she made it the patient’s responsibility to meet the milestones while she supplied the education for the patient to do so.

Her point on edema was well taken. In her practice she does not allow edema (swelling) to linger, if she sees it she has the patient redouble their efforts at ice and elevation and she makes it the patient’s responsibility to get the swelling down. She has gone as far as telling patients that she will have to put them back on crutches unless they get it under control. This is a technique I will definitely use in my practice. Bravo, Dr. Manal.

The other lecture I particularly enjoyed was one done by Dr. Drew Van Boerum an orthopedic surgeon who’s practice is specialized in the foot and ankle. He reviewed trauma and the surgical approach to managing it. What I found most useful was when he took us through his examination palpating structures in the foot. Having examined hundreds of feet myself, it was interesting to see someone with a very similar approach to mine with regard to palpation. As a chiropractor and physical therapist I am always astounded at doctors that don’t actually touch what they are examining. To me this is an obvious approach. I really appreciated Dr. Van Boerum’s systematic approach to palpation.

There were many more good lectures, but these were the two I felt I gained the most out of. I have attended many lectures in my career and I still get something out of just about everyone I attend. Life long learning is a way of life for me and I am forever grateful to all of the teachers who have enriched my experience along the way

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