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In this episode, we explore a fascinating clinical case showing how acupuncture was used as a tool to calm the nervous system and create enough comfort for meaningful physical assessment and movement-based treatment. The patient presented with severe acute low back pain radiating into both gluteal regions. She was highly distressed, unable to sleep, unable to lie comfortably in the prone position, and struggling with normal movement and function. The clinician describes how acupuncture was used as a strategy to help the patient relax and reduce her level of nervous system arousal, creating an opportunity to reassess her movement and function. Rather than treating acupuncture as the entire solution, it was used as a potential bridge toward further assessment and active rehabilitation. 👉🏻 How Acupuncture Made Mechanical Assessment Possible – Listen to Lukasz Oleksiewicz break down the reality of treating highly agitated patients and chronic, reactive tendinopathies. Learn how to move away from forcing mechanical assessments on patients in severe acute pain, and start using tools to calm the nervous system, build a strong therapeutic alliance, and apply different clinical filters to unlock better outcomes in the clinic. 💡In this video, you'll learn: ✅How severe pain can make mechanical assessment difficult or impossible ✅The relationship between stress, nervous system arousal, and pain ✅Why FND symptoms can resemble structural neurological problems ✅The importance of appropriate medical screening and referral ✅How acupuncture was used to help the patient relax ✅Why side-lying acupuncture was selected for this patient ✅How reducing nervous system agitation can improve treatment tolerance ✅Using acupuncture as a bridge toward mechanical assessment ✅McKenzie/MDT flexion-rotation assessment and exercise ✅The importance of patient-specific clinical reasoning ✅How sleep and the patient's environment can influence recovery ✅Combining pain modulation with movement-based rehabilitation ✅The role of acupuncture as an adjunct rather than an isolated intervention The discussion emphasizes that these symptoms are real and not fabricated, while also highlighting the importance of appropriate neurological screening and medical evaluation when new neurological symptoms are present. 👍If you work primarily with musculoskeletal pain, neurological rehabilitation, chronic pain, or complex clinical presentations, this case provides an opportunity to consider how nervous system state, pain, and patient tolerance can influence the assessment process. Timestamp: 00:00 – Patient history, dropped foot, and functional neurological disorder 00:31 – Acute low back pain and major work-related stress 01:33 – Understanding functional neurological disorder (FND) 02:23 – Previous acupuncture and functional rehabilitation 02:47 – Severe pain makes mechanical assessment impossible 03:22 – Using acupuncture to calm the nervous system 04:19 – Mechanical assessment, MDT exercise, and early improvement 🎥Link to interview on YouTube: https://youtu.be/89cNCr2DvgI 🎙Listen on all platforms: https://bit.ly/45rzffO 🍁 𝗔𝗯𝗼𝘂𝘁 𝐏𝐓 𝐏𝐫𝐨 𝐓𝐚𝐥𝐤 𝐏𝐨𝐝𝐜𝐚𝐬𝐭 🍁 In this channel, you will find Physical Therapy-related content, like interviews with experts who share their views and experiences, providing relevant information to help Physical Therapists improve their practice and patient care! 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 🌐𝐅𝐨𝐥𝐥𝐨𝐰 𝐌𝐞 𝐎𝐧 𝐒𝐨𝐜𝐢𝐚𝐥𝐬 https://www.instagram.com/ptprotalk/ https://www.facebook.com/ptprotalkpodcast https://www.linkedin.com/company/pt-pro-talk/ https://twitter.com/MariHannaParks 🎧Spotify: ptprotalk ✅𝐆𝐄𝐓 𝐈𝐍 𝐓𝐎𝐔𝐂𝐇 📧 📩Email: [email protected] 🕵️‍♂️Thank you for visiting our channel and watching all our videos. Support 💁‍♂️ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like: Hanna Health: https://hannahealthhub.com/hep and SaRaHealth: https://bit.ly/saraytb #Acupuncture #AcupunctureTherapy #AcupunctureForPain #MechanicalAssessment #LowBackPain #BackPain #Physiotherapy #PhysicalTherapy #PainManagement #PainRelief #FunctionalNeurologicalDisorder #FNDRehabilitation #NeurologicalRehabilitation #NervousSystem #NervousSystemRegulation #PainScience #PainRehabilitation #ClinicalReasoning

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