Shadowing and Internships

We do accept students for both shadowing our clinicians and as interns in their respective professional phase programs.  Please contact our facility to find out if we are accepting students at the time you are looking to shadow.  For professional phase students, please contact your Internship Coordinator to set-up an internship with one of our therapists.
Information From the Field
At PRN Physical and Occupational Therapy, we believe it is equally as important to educate our patients and the community as it is to treat and mend their ailments.  Staying up to date and knowledgable on currents trends, information, and data can and will help reduce reccurences of injury, prevent falls and accidents, and give our clients the beneficial nature of remaining healthy.
Sciatic Nerve
Stems from the spine and forms the distribution for the nerves listed below. Your sciatic nerve innervates the back and side of the thigh and the lower leg and foot.
Tibial Nerve
Provides sensory innervation to the bottom of the foot, heel, and portions of the back of the leg.
Peroneal Nerve
Neurodynamic Assessment and Treatment in the Lower Extremities
Provides sensory innervation to portions of the top of the foot and toes as well as the outside aspect of the lower leg.
Often times pain in the legs and feet may be misinterpreted as a number of injuries and ailments.  With many conditions, soft tissues may become adhered, including nerves, and cause pain throughout broad aresa of the legs and feet.  The sciatic nerve may become entrapped from the back all the way down to the tibial, peroneal, and sural nerves and their respective nerve brances.  As part of treatment, your therapist may mobilize the nerves using a variety of techniques to loosen adhered tissues and reduce nerve related pain.
Sural Nerve
Provides sensation to the back of the leg, the outside of the ankle, outside of the foot, and the 4th and 5th toes.
Courtesty of S. Rimmer, Daemen DPT '16
Neuropathy and Neuropathic Pain
Peripheral Neuropathy often arises from damage or disease that affects the nerves of hands and feet. Typically, degredation of the nerves may cause numbness, weakness, tingling, and sharp, shooting, burning, or stabbing pains in the extremities.
The peripheral nervous system sends and recieves communication from the brain and spinal cord (central nervous system) and translates it to the rest of the body. Peripheral neuropathy may occur due to traumatic injuries, metabolic disorders, tumors, alcoholism, autoimmune diseases, infection, exposure to toxins, or it may be inherited. The most common cause associated with neuropathy is from Diabetes Mellitus.*

Treatments for Peripheral Neuropathy may entail pain relievers, anti-seizure medication, capsaicin, anti-depressants, transcutaneous electrical nerve stimulation (TENS), Plasma exchange and intravenous immune globulin, physical therapy, and surgery.*

Your therapist may provide a number of treatments to help alleviate your symptoms and return to normal activity: electrical stimulation, diathermy, Anodyne, manual therapy including soft tissue massage, therapeutic cupping, and joint mobilization, application for braces, and fitting for a walker, cane, or wheelchair if necessary.
 

*Courtesy of the Mayo Clinic

Atelectasis
The alveoli (tiny air sacs) lose pressure and cause a partial or complete collapse of a lung or lobe. Atelectasis is a possible complication following surgery, inhaled debris, tumors, chest injury, respiratory weakness, or fluid build-up.  
Pneumonia
An inflammation of the air sacs of a portion of one or both lungs that may fill with fluid or pus.  Symptoms may include fever, chills, pus/phlegm, cough, and trouble breathing. Bacteria, fungi, and viruses pose as potential causes for pneumonia.
Know Your Pulmonary Disorders*
Pneumothorax
Asthma
In this condition, air has leaked between the lung tissue and chest wall, causing the collapse of the lung.  Often only a portion of the lung collapses.  Pneumothorax typically occur from blunt damage, underlying lung disorder, and various medical procedures.
A condition characterized by a narrowing and swelling of airways with excessive mucous production. Wheezing, coughting, and shortness of breath typically accompany the disease.
Cystic Fibrosis
COPD
An inherited disorder that affects the mucous, sweat, and digestive cells of the lungs, pancrease, and digestive systems.  Secretions typically lubricating become thick and sticky, plugging bodily ducts, tubes, and passageways.
Chronic inflammatory condition that obstucts airflow within the lungs.  Common presentations include coughing, wheezing, sputum (saliva and mucous) production, and breathing difficulty.  Irritating gases and inhaled matter, such as in cigarette smoking, may cause COPD to develop. Emphysema and Chronic bronchitis are the two most common contributors to COPD.
Pulmonary Fibrosis
Scarring and thickening to alveoli restricts the movement of the lungs causing shortness of breath and difficulty breathing.  Common causes may consist of airborn toxins, various lung diseases, workplace toxins, lung/breast cancer, and even some medical treatments. 
Pulmonary Embolism
In this condition, a blood clot becomes lodged in an artery of the lungs disrupting blood flow to that portion. Blood clots often arise in the legs and travel via artery to the right side of the heart and to the lungs.
Lung Cancer
Cancer that originates in the lung tissue.  Lung cancer represents the most common cause of cancer deaths in the United States. Smoking greatly increases the risk of Lung Cancer.

*Information Courtesy of the Mayo Clinic

Three Stages
1. Freezing Stage - Movement is painful and motion begins to become limited.

2. Frozen Stage - Pain may diminish, but the shoulder is difficult to move. 

3. Thawing Stage - movement begins to return.
Causes
Physicians are unsure of a specific cause to the condition, however, it is commonly seen with those with diabetes or post-surgical/fracture immobilization.
Adhesive Capsulitis
The joint structure, inlcuding bones, tendons, and ligaments, of the shoulder are encased within a connective tissue capsule.  In some instances, the capsule can become inflammed, tightening and restricting, causing decreased motion and pain. 
Treatments
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