St. Luke’s * Idaho Elks Pediatric Services will be providing educational courses for the parents and care providers of our patients.  These courses will continue on the 1st Thursday of every other month.


DATE:  Thursday, October 16th, 2008

TIME:  6:30-8:30 pm

LOCATION:  St. Luke’s Hospital in Meridian, Paiute Room located in the lower level conference rooms

REGISTRATION DEADLINE: Friday October 10th, 12pm


TOPIC FOR October 16th

Visual Communication Strategies

Using Sign Language to Support Oral Language Development


Presented by Susie Jones, M.S. CCC-SLP


Visual communication systems can help reduce frustration and increase verbal skills for many children.  Come learn about sign language and cued speech and how you can incorporate these systems into your daily routines to promote speech development.  You’ll learn some basic sign vocabulary through games, demonstration and hands-on activities.   Siblings 5 years and older are welcome to participate.

Fun for the whole family!

*       Childcare provided on the 2nd floor, Ste. 2106 in pediatric SLIERS clinic

*       Pizza and snacks for everyone

*       $5.00 registration, scholarships are available



(Spots are limited)


My Favorite Strech-Piriformis.

We see so many patients presenting with lower back pain, and usually from chronic or repetitive use, combined with inner core instability.  We administer the standard inner core exercises focusing on the pelvic floor, the transversus abdominus, and the transversospinales, or multifidus muscles.  These exercises are wonderful for beginning the stabilization process.


Also, if indicated, we facilitate stretches; of the Piriformis, or external hip rotators, the lower thoracic spine, the hamstrings, and the quadriceps.  These work well to release the lower back, but my personal favorite would have to be stretching the piriformis.


And my favorite way of stretching the piriformis is by crossing one leg on top of the knee of the other, and bending over in a seated position, keeping the “down” leg in a solid 90 degree bend.  I think what is most appealing is the relative level of ease in this stretch.  It is good for people who have trouble doing the same motions while on their back, and it allows for more of the whole body to relax into the stretch, using gravity instead of lifting the crossed legs up and working against gravity.  Almost every patient I’ve coached in this stretch says “oh yeah, I feel that.”


One important tip:  try and imagine that while you are bending forward in the chair that your only fulcrum is at your hips, keeping your chin up as you lean forward.  Imagine your hips are a hinge and this is where you are bending.  Also, if the person can not totally cross their legs (elderly or more stiff folks) then they can cross them as far their comfort level, then lean forward.


This stretch, combined with thorough deep tissue massage when indicated, in the lower Lumbar region including the Quadratus Lumborum , Gluteus Maximus/Medius, and Piriformis without major contraindicated spinal pathology, are  most certainly highly beneficial therapeutic protocols.


Paul Greear NCTMB

Nampa North

Lymphedema: Risks of Not Treating

Some may become overwhelmed by the concept of having to deal with the chronic condition of Lymphedema, especially if they have already gone through so much with cancer treatments.  It is a personal choice to manage, or not to manage, any medical condition.  The risks of not managing Lymphedema include:

·        Continued increasing size of the arm/leg.

·        Risk of recurrent infections (Cellulitis) that may require hospitalization on IV antibiotics.

·        Skin changes:  dry flaking, yellow scaling, wart like growths, lymph blisters…


The earlier you start managing Lymphedema, the easier and quicker it is to get it under control, though at any point in the process CDT can make significant improvements and improve quality of life.


Sonja M. Maul PT, CLT-LANA

National Board Certified Lymphedema Therapist