Motion Stability's Blog

Dry Needling as a part of the Georgia Physical Therapy Practice Act under bill HR 145 by Motion Stability

Thank you to Georgia Representatives Sharon Cooper and Edward Lindsey, the use of dry needling in clinical practice has been adopted into the Georgia Physical Therapy Practice act under bill HR 145. Dry needling is a technique to improve myofascial pain and dysfunction, which includes treatment of trigger points. With proper clinical reasoning and treatment methodology, trigger point dry needling can help significantly with improvements in pain, dysfunction, range of motion, and movement patterns. For more information please view our website:

For more information on the bill follow this link.

The Disconnect between Post-partum Women and Low Back Pain by Motion Stability
August 1, 2011, 12:18 am
Filed under: Movement Dysfunction, Pain Sciences, Spine | Tags: , ,

Recently we have seen a growing number of women presenting to our clinic with low back pain and who incidentally have had a baby within the last couple of years. Unfortunately many of these women have been told 1 of 2 things by their medical practitioners: it is an unfortunate side-effect of being post-partum and that it should go away in due time or go try some physical therapy and see if it helps. The problem is that the women is caught between her ObGyn saying it is a post-partum issue and her orthopedist diagnosing her with non-specific back pain, but not attributing it to the fact that she has just had a baby. Oftentimes, the problem goes undiagnosed and women who are even 10yrs post-partum can have dysfunction and pain directly related to the pregnancy numerous years ago.

As physical therapist’s, we have the responsibility of linking these events together and explaining to the women how pregnancy alters the stability and mechanics of her back, abdominal, and pelvic regions. We have the unique  ability to catch these women as they fall through the cracks of traditional medicine and significantly alter how the woman is able to go about her day caring for her newborn pain-free. A knowledgeable clinician will be able to create an individualized treatment program structured around the effects that a pregnancy and delivery can have on the woman.

At our clinic, the therapists are able to use ultrasound (similar to ones at the Ob’s office) to evaluate the muscle integrity of the abdomen and pelvic floor (areas most often affected by pregnancy.) It has become a useful tool to integrate into the treatment programs for these patients. The ultrasound allows the therapist and patient to visualize exactly how the muscles are being used and in what manner. Please check out this article for more information on the use of ultrasound imaging in the PT clinic:

Chronic Pain Can Be a Pain by BCollier

Most all people have experienced some form of pain in their lifetime.  Feelings of pain can present from skinning your knee on your first fall off of a bicycle to the tiniest of papercuts or rehabilitating a surgical procedure. Each person can feel and interpret pain in many different ways in the many different circumstances it may present. Generally, pain is thought of as a symptom or result of an incident, such as those mentioned above, or a disease, like the aches commonly felt with the flu. In these cases, most healthcare practitioners focus on treating the cause of the pain, knowing that eventually the pain should subside as your body heals.

However, in cases in which pain persists outside of its expected time frame of body healing, other ideas must be considered.  Commonly in these instances, patients are sent from doctor to doctor in search of a diagnosis or cause of their unrelenting pain, often undergoing many different tests and treatments often only left with a vague diagnosis of  “fibromyalgia” or “myofascial pain syndrome.”  For these individuals, pain takes over many aspects of their life and become functionally limited or even disabled.  Pain then becomes less of a symptom of a disease and, rather, becomes a primary disease in itself.  Patients may even experience other non-pain-related symptoms as a result of the pain process, such as sweating, redness, sensitivity to touch, changes in hair or nail growth, changes in bathroom habits and feelings of depression. It is necessary at this stage to change the treatment approach to stop the pain cycle to best allow the patient to return to normal daily function. Understanding the many factors which may affect pain is imperative to best treat patients with such presentation, including nutrition, exercise, internal organ system function, and psychosocial situations.

The physical therapists at Motion Stability have collaborated with a network of physicians around the Atlanta area to establish a strong approach to the treatment of patients with chronic pain. Utilizing a biopsychosocial treatment model, it is our goal to spend time with patients who may have undergone failed treatments in the past to understand their unique individual situations and to outline the best possible plan of care. For more information patients or physicians may directly contact our therapists at Motion Stability at

– Beth Collier PT, DPT, OCS

*Reference: Cousins, Sidall. Persistent Pain as a Disease Entity: Implications for
Clinical Management. Anesth Analg 2004;99:510 –20.