Dismissing the Core
In the pool (his prescription demanded it), she worked on his “core”, and he had no difficulties with the activities that she presented to him. On land, I focused on education and graded exposure to movement, initially in supine, and had progressed him to quadruped before he saw Tom on 11/9. Over time, his pain had reduced from a 9/10 max, to 3/10.
When I saw Michael again on 11/15, I progressed him to sitting activities (tilts, clocks, lateral shifting, etc). I encouraged him to move slowly and to feel how his body moved, to remain pain-free, and to appreciate how much he could indeed move without a discomfort. He tolerated this without complaint. I had been instructed to give him “core” exercises, so I concluded the session with tubing exercises (as Tom had done before me), encouraging Michael to keep his hips and shoulders in line.
On 11/16, I got called into her office…again. Michael had called and left a voice mail on her phone. He was disappointed that I did not address his “core” like Tom had; he felt I had not followed through with Tom’s plan of care. My boss was wondered why I did not work on more stabilization exercises. I told her that I had worked on stabilization activities (using the exact same as Tom), but declined to tell Michael that I was working on his core to reduce pain due to a lack of stability; I feared such misinformation would be neither beneficial or truthful.