Information for medical professionals

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Information for medical professionals 2018: Rehabilitation, part 5

Treatment and rehabilitation measures at Firda Physical Medicine Centre. We have a set of sub-goals to help us achieve our main objectives for a patient's condition. To create a realistic relationship between his or her expectations and the likely effect of measures taken; Discuss in depth the performed diagnostics, as well as diagnostic measures not as yet tried...

Information for medical professionals 2018: Rehabilitation, part 4

Treatment and rehabilitation measures at Firda Physical Medicine Centre. An important question: Who says it is not possible to take functional and useful pictures of short C0-1-2 stabilizing musculature? Here at Firda Physical Medicine Centre we do just that!

Information for medical professionals 2018: Rehabilitation, part 3

Treatment and rehabilitation measures at Firda Physical Medicine Centre. Case study Part 2 continued: Findings: During exaggerated passive side bending, right side C0-1 to left side, there is a probability of tissue damage to this joint (joint capsule and ligament close by). We also test an almost full luxation atlas right side on the axis surface during rotation towards the left. That is, the right atlas joint surface has a non-physiologically large rotation, and there is almost no joint contact with the right side axis joint surface below...

Information for medical professionals 2018: Rehabilitation, part 2.

Treatment and rehabilitation measures at Firda Physical Medicine Centre. A case study (this case study of a patient is put together from four different cases, for reasons of patient anonymity): Your pain is primarily situated in the neck/head and neck/shoulder/upper part of the thoracic spine. Six years have passed since your traffic accident, in which your car was hit sideways by a large van...

Information for medical professionals 2018: Rehabilitation, part 1

Reflections on the treatment/rehabilitation of neck injury patients at the Firda Physical Medicine Centre. We now come to the business of how we work here at the Firda Centre in relation to the rehabilitation of patients suffering the consequences of one or more injuries to the neck. Before starting on a description of specific treatments and methods I shall attempt to show some of the thought processes we need to work our way through before arriving at these...

Information for medical professionals 2018: Part 11 - Case study: Boy, 19 years old

Neck injury from soccer August 2016. Rehabilitation started January 2017 - ended December 2017. Checkup April 2018. After rehabilitation: Normalized and pain free neck function...

Information for medical professionals 2018: Part 10 - Case study: Serious sideways whiplash neck trauma

Arne Nesgård and Morten Leirgul at Firda Physical Medicine Centre has made a great leap forward in ultrasound diagnostics, enabling the diagnosing of instability of the atlantoaxial joint (in the upper neck region) with sideways tilt/gapping. This joint is supposed to be stable during sideways tilt/gapping. We have tested this instability clinically for a long period of time, but it has been challenging to visualize this instability using ultrasound or radiology...

Information for medical professionals 2018: Part 9

Precise diagnostics - a prerequisite for targeted measures in treatment and rehabilitation. Neck and back injuries: A patient requires a thorough examination by an experienced therapist. Those who are going to help him need to be experienced within the diagnosis of neck injuries in order to be well-equipped for the task...

Information for medical professionals 2018: Part 8 - Neck injuries, a serious and extensive health and social problem in Norway

Thank you for your great interest (phone calls, emails and visits to our web page www.firdafysmed.no).vHere at Firda Physical Medicine Centre we aim to respond to all emails and telephone enquiries. To those of you who feel our replies are too brief, please continue to watch for information on our website under 'Information for medical professionals'. Unfortunately, our time does not allow us to respond as fully as we would like to all the enquiries that arrive on a daily basis. Two frequently asked questions are...

Information for medical professionals 2018: Part 7 - More on atlantoaxial rotational instability

We would like to express our gratitude for the great interest in the articles we have published on our webpage. It is delightful to see that there are so many readers from around the world. We also thank you for the praise we have received for our English version. The honor for that belongs to our two translators from USA and England.We received a particularly great response from both patients and medical professionals after publishing part 5. Important points that we have received feedback on from that article are:...

Information for medical professionals 2018: Part 6 - Control materials

When assessing quality and functioning ability of ligaments and joint capsules in the area between the neck and head, one is quickly faced with a challenge. Is there any point in assessing passive stabilizers in the neck? For what is considered to be normal? What should one use as a basis for comparison when testing a structure either clinically (passively or actively) or via MRI?

Information for medical professionals 2018: Part 5 – MRI 3T – T2 weighted sequences, STIR sequences

To have any chance of success with functional/positional CT and MRI, one must do a proper preparation as a clinician. The clinician must have comprehensive theoretical and clinical knowledge about the neck's anatomy and function, as well as significant experience with customizing the position of the neck on the CT and MRI tables. There must be an excellent rapport and collaborative effort with the radiological staff...

Information for medical professionals 2018: Part 4 – Computer tomography (CT)

Person with significant neck trauma and obvious deficiencies in function with extensive symptomatology. Do we have sufficient knowledge about the status of the bones and joints of the neck? Can radiology (here CT) help us to achieve a more precise diagnosis?

Information for medical professionals 2018: Part 3 – UPRIGHT MRI

It is Tuesday, February 20th, and I have taken a week off with my family at Gålå. I was planning to not do any work here, but that was not to be. After publishing two articles on our website firdafysmed.no in the Information for Medical Professionals category, the phone has been ringing non-stop. In my career of working with neck injuries for nearly 34 years, I cannot recall ever having had as many hours on the phone as the case has been for the last two weeks...

Info for medical professionals 2018: Part 2 - Tissue damages - tissue regeneration - tissue remodeling

With neck trauma, there is often tissue damage. External load surpasses the strength of joint ligaments, meniscus attachments, muscles and sinew attachments. External trauma damages your important soft tissue structures, leading to your experience of pain, decreased neck / head function and thereby considerably diminishes quality of life and ability to work. Therefore, it is very important that we as soon as possible get a good overview of the damages, and thereby be able to initiate effective rehabilitation measures...

Info for medical professionals 2018: Part 1 - Tissue Damage - Tissue Diagnostics - Tissue Regeneration - Tissue Remodeling

With neck injuries there can arise damage to joint ligaments, joint capsules and meniscus in the neck. The common denominator for these injuries are that the damaged tissue mainly is composed of collagen tissue. Accurate diagnostics of damaged tissue is crucial for a good starting point for precise rehabilitation. At Firda Physical Medicine Centre high-end ultrasound is a very important aid in thorough tissue diagnostics...

Info for medical professionals, January 2015: Information for medical professionals: Neck injury diagnostics

Many people suffer from debilitating symptoms and reduced neck function after neck injuries. Precise diagnostics of neck/head dysfunction with symptoms and sequela of neck injuries are therefore very important. In Norway, we are fortunate to have an excellent healthcare system with modern equipment, skilled professionals, and comprehensive procedural routines which are accessible in order to follow up on these diagnostic challenges...

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