Lancaster Physician Fall 2017 - 34

L A N C A S T E R M E D I C A L S O C I E T Y.O R G

Legislative & Regulatory Updates

Committee, where it will continue to
face strong opposition from the insurance industry.
Telemedicine
Last session, legislation was introduced in
both the Senate and House of Representatives
to provide statutory guidelines related to the
practice of telemedicine. As expected, the bills
did not move but succeeded in generating
discussion among key stakeholders. This
session, ongoing efforts (largely taking place
in the Senate) to address concerns from all
stakeholders have delayed formal introduction
of legislation. Two primary issues, guaranteed
reimbursement for telemedicine services and a
question of mandating the availability of video
(PAMED and HAP are opposed to audio only),
slowed down the advancement of this issue.

Before the legislature recessed in July,
Senator Elder Vogel formally introduced
SB 780, a version that has the support of
both PAMED and HAP. Representative
Marguerite Quinn is expected to introduce
a companion bill, with identical language,
in the near term.
Federal Medical Liability Legislation
HR 1215 has cleared both the House Judiciary and the House Energy and Commerce
committees. PAMED had previously sent a
letter to the House delegation from PA as well
as key congressional staff urging support for
HR 1215. The bill may come up for a vote
soon, but because it is identified as health
care reform, it could be delayed.

For the most up-to-date information on advocacy priorities and legislative issues, please visit

www.pamedsoc.org/advocacy.

Lancaster NeuroScience & Spine Associates

Physical Therapy Treatment
for Migraines
TO SCHEDULE AN
APPOINTMENT CALL

717.509.6522
(LANCASTER)

717.454.0061
(LEBANON)

NEUROSURGEONS
Keith Kuhlengel, MD
Christopher Kager, MD
William Monacci, MD
James Thurmond, MD
Kristine Dziurzynski, MD
PHYSIATRISTS
Robert Roberts, MD
Jessica Mack, MD

With the addition of Jeffrey Bole to their Physical Therapy Team as the Director of
Rehabilitation Services, LNSA now offers treatment for cervicogenic headaches and
migraines. Along with the specialized treatment for headaches and migraines Jeff brings 20
years of experience and expertise in treatment of lumbar and cervical spine-related conditions.

Jeff Bole, MSPT

Director of
Rehabilitation Services

Physical Therapy is an underutilized treatment for headaches for a variety of reasons including
misdiagnosis, the public's perception of physical therapists' focus on musculoskeletal systems
not strongly associated with migraines and the traditional reliance on pain medication as a first
defense.
Many headache and migraine sufferers often experience concurrent neck pain, tension, stiffness,
and/or discomfort with onset of symptoms. Muscles in the cervical region can become tense and
tight from things like over use, static postural loading (like sitting at a computer), as well as trauma
events. These tense and tight muscles can cause referred pain from the cervical region to head and
facial regions, possibly triggering "migraines".

Andrew Snyder, MSPT
Lancaster Office

Treatment is focused on specific postural, ADL and work modifications, gentle joint mobilizations,
soft tissue mobilization/myofascial release, and light strengthening and conditioning to improve
postural control. The role of the physical therapist is to identify a mechanical trigger of the headache
symptoms, restore mobility to the joints, correct muscle imbalances and manage their symptoms.
The challenge lies in determining the type of headache, determining the root cause and developing an
appropriate treatment plan to empower headache sufferers to self-manage their symptoms.

Don Keenan, DPT
Lebanon Office

Lancaster NeuroScience & Spine Associate
1671 Crooked Oak Drive, Lancaster (717) 569-5331 | 1510 Cornwall Road, Lebanon (717) 454-0061

www.lancasterneuroscience.com
LANCASTER

34

PHYSICIAN


http://www.pamedsoc.org/advocacy http://www.lancasterneuroscience.com

Table of Contents for the Digital Edition of Lancaster Physician Fall 2017

Lancaster Physician Fall 2017 - 1
Lancaster Physician Fall 2017 - 2
Lancaster Physician Fall 2017 - 3
Lancaster Physician Fall 2017 - 4
Lancaster Physician Fall 2017 - 5
Lancaster Physician Fall 2017 - 6
Lancaster Physician Fall 2017 - 7
Lancaster Physician Fall 2017 - 8
Lancaster Physician Fall 2017 - 9
Lancaster Physician Fall 2017 - 10
Lancaster Physician Fall 2017 - 11
Lancaster Physician Fall 2017 - 12
Lancaster Physician Fall 2017 - 13
Lancaster Physician Fall 2017 - 14
Lancaster Physician Fall 2017 - 15
Lancaster Physician Fall 2017 - 16
Lancaster Physician Fall 2017 - 17
Lancaster Physician Fall 2017 - 18
Lancaster Physician Fall 2017 - 19
Lancaster Physician Fall 2017 - 20
Lancaster Physician Fall 2017 - 21
Lancaster Physician Fall 2017 - 22
Lancaster Physician Fall 2017 - 23
Lancaster Physician Fall 2017 - 24
Lancaster Physician Fall 2017 - 25
Lancaster Physician Fall 2017 - 26
Lancaster Physician Fall 2017 - 27
Lancaster Physician Fall 2017 - 28
Lancaster Physician Fall 2017 - 29
Lancaster Physician Fall 2017 - 30
Lancaster Physician Fall 2017 - 31
Lancaster Physician Fall 2017 - 32
Lancaster Physician Fall 2017 - 33
Lancaster Physician Fall 2017 - 34
Lancaster Physician Fall 2017 - 35
Lancaster Physician Fall 2017 - 36
Lancaster Physician Fall 2017 - 37
Lancaster Physician Fall 2017 - 38
Lancaster Physician Fall 2017 - 39
Lancaster Physician Fall 2017 - 40
Lancaster Physician Fall 2017 - 41
Lancaster Physician Fall 2017 - 42
Lancaster Physician Fall 2017 - 43
Lancaster Physician Fall 2017 - 44
Lancaster Physician Fall 2017 - 45
Lancaster Physician Fall 2017 - 46
Lancaster Physician Fall 2017 - 47
Lancaster Physician Fall 2017 - 48
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPFall20
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LancasterPhysicianSummer2020
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSpring20
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPWinter20
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPFall19
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSummer19
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSpring2019
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPWinter2019
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPFall2018
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSummer2018
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSpring18
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPWinter18
https://www.nxtbook.com/hoffmann/Lancaster_Physician/Fall2017
https://www.nxtbook.com/hoffmann/Lancaster_Physician/Summer2017
https://www.nxtbook.com/hoffmann/Lancaster_Physician/LPSpring17
https://www.nxtbookmedia.com