Guerrero Rehabilitation

06/08/2026

https://youtu.be/AkVOp-ZSXhg?si=3na2m1IZxc4QuxqL

Educational content only. Not medical advice. Content is intended primarily for rehabilitation professionals and general educational purposes. Individual treatment should be based on a comprehensive evaluation, medical history, and clinical examination performed by a qualified healthcare professional.

💪 Biceps Squeeze Test (Distal Biceps Tendon Rupture Test)🧠 What Is the Biceps Squeeze Test?The Biceps Squeeze Test is an orthopedic clinical test used to h...

06/07/2026

https://youtu.be/-1iD5xTup8E?si=DBAgDu8lbwX5yBMT

💉 Dry Needling for Suboccipital Tightness & Cervicogenic HeadachesIf you’re dealing with headaches, neck tension, or pain at the base of the skull… the subo...

06/07/2026

https://youtu.be/HmjULsaSSLI?si=UfvQY7yD_BcxC2dH

🎯 Straight Leg Raise (SLR) Test – Lumbar Radiculopathy / Sciatic Nerve Irritation Assessment🧠 What Is the Straight Leg Raise Test?The Straight Leg Raise (S...

06/06/2026

https://youtu.be/MAI98Gq4J7Y?si=MDSCmSdNvBp6ZcT7

🦴 What Is Thoracic Outlet Syndrome (TOS)?

Thoracic Outlet Syndrome occurs when nerves, arteries, or veins become compressed as they travel from the neck into the shoulder and arm through a region called the thoracic outlet.

The most commonly involved structure is the brachial plexus (the nerve network supplying the arm), although vascular structures may also be affected.

⚠️ Common Symptoms:

• Numbness or tingling into the arm or hand
• Hand weakness or grip weakness
• Shoulder, neck, or upper chest pain
• Symptoms when reaching overhead
• Arm fatigue with prolonged activity
• Heaviness in the arm
• Changes in hand temperature or color (vascular involvement)

Common contributing factors may include:

• Poor posture
• Forward head positioning
• Tight scalene muscles
• Tight pectoralis minor
• Repetitive overhead activities
• Previous trauma or injury

Early identification and appropriate rehabilitation may help improve mobility, reduce compression, and restore function.

⚠️ Disclaimer:
This is not medical advice. For educational purposes only. Consult a qualified healthcare professional before beginning any treatment program.

05/25/2026

05/19/2026

https://youtu.be/-1iD5xTup8E?si=k_3AgzJdUyjaeK

💉 Dry Needling for Suboccipital Tightness & Cervicogenic HeadachesIf you’re dealing with headaches, neck tension, or pain at the base of the skull… the subo...

05/16/2026

Dry Needling for Suboccipital Tightness & Cervicogenic Headaches

The suboccipital muscles are a small group of deep muscles located at the base of the skull. Although small, they play a major role in cervical spine function and are commonly involved in headaches, neck tension, and upper cervical dysfunction.

Why the Suboccipital Muscles Matter

Functions include:
• Upper cervical spine stability
• Head positioning and postural control
• Fine cervical movement coordination
• Eye-head coordination
• Cervical extension and rotation

When these muscles become overactive, tight, or overloaded (commonly from forward head posture, prolonged screen time, stress, jaw clenching, or cervical dysfunction), myofascial trigger points may develop and contribute to:

• Cervicogenic headaches
• Tension headaches
• Pain at the base of the skull
• Neck stiffness
• Eye strain
• Dizziness or pressure sensations
• Limited cervical rotation

How Dry Needling May Help

Dry needling targets trigger points directly using a thin filament needle.

Potential benefits may include:
• Reduced muscle tension and guarding
• Improved local circulation
• Decreased pain sensitivity
• Improved cervical mobility
• Improved muscle activation patterns
• Reduced headache-related symptoms in some individuals

Evidence:

• Shah et al. demonstrated biochemical changes in trigger points after needling, including reductions in inflammatory mediators
• Kietrys et al. found dry needling effective for reducing myofascial pain compared to sham/control interventions
• Cagnie et al. demonstrated improvements in pain and pressure sensitivity following dry needling interventions involving cervical musculature

What Dry Needling Often Feels Like

• Brief twitch response may occur
• Mild soreness afterward (similar to post-exercise soreness)
• Temporary tenderness around treatment area
• Some individuals report reduced pressure, tension, or headache symptoms afterward

Clinical Background

Chad Guerrero, OT is full-body certified in dry needling and honored to be among the first two Occupational Therapists in Louisiana history to achieve full-body certification through LOTA-approved training.

Certification includes treatment considerations involving:

• Upper extremity conditions
• Lower extremity conditions
• Cervical spine conditions
• Thoracic spine conditions
• Lumbar spine conditions

Dry Needling Is Often Combined With:

• Manual therapy (soft tissue techniques, joint mobilization)
• Postural retraining
• Deep neck flexor strengthening
• Thoracic mobility exercises
• Activity modification
• Ergonomic education
• Progressive strengthening programs

Dry needling is typically most effective when integrated into a comprehensive orthopedic rehabilitation plan rather than used in isolation.

For additional orthopedic rehabilitation content, dry needling education, therapy programs, special tests, and pain management topics, visit YouTube:

Over 1,100+ videos covering orthopedic conditions, rehabilitation strategies, therapeutic modalities, knee pain, foot conditions, neck pain, shoulder pain, elbow pain, and more.

Copy and paste the link into your YouTube search bar or click below:

YouTube Channel

➡️ Not a fully comprehensive program. My patients undergo a thorough medical history review and clinical examination. Individualized plans are then developed after making clinical decisions. This is just a general guide.

Disclaimer:
This content is for educational purposes only and is primarily designed for rehabilitation clinicians. It is not medical advice. Always follow state practice guidelines and use clinical judgment.

05/14/2026

https://youtu.be/ym2BPRw7XVM?si=oH5GPgmfVdC3xWR_

💉 Dry Needling for Calf Pain (Gastrocnemius) TightnessIf you’re dealing with calf tightness, trigger points, cramping, or persistent lower leg pain… the gas...

05/14/2026

💉 Dry Needling for Calf Pain (Gastrocnemius) Tightness
If you’re dealing with calf tightness, trigger points, cramping, or persistent lower leg pain… the gastrocnemius muscle may be a major contributor.
⸻
🧠 Why the Gastrocnemius Matters
The gastrocnemius is one of the primary muscles of the calf and plays a major role in:

Walking and gait mechanics
Push-off during ambulation and running
Jumping and force production
Ankle plantarflexion
Assisting knee flexion
When overloaded, tight, or overused (common with running, prolonged standing, sports, poor mobility, or compensation patterns), it can develop myofascial trigger points that contribute to:
Calf tightness
Cramping
Achilles tension
Heel pain
Limited ankle dorsiflexion
Pain with walking, running, or stairs
⸻
🎯 How Dry Needling Helps
Dry needling targets trigger points directly using a thin filament needle.
Benefits include:
Reduces muscle tension and guarding
Improves local blood flow
Decreases pain sensitivity
Improves mobility and flexibility
Helps restore normal muscle activation patterns
📚 Evidence:
Shah et al. demonstrated biochemical changes in trigger points after needling, including reduced inflammatory mediators
Kietrys et al. found dry needling effective for reducing myofascial pain compared to control/sham
Cagnie et al. demonstrated improvements in pain and muscle sensitivity following dry needling interventions
⸻
⚠️ What It Feels Like
• Brief twitch response may occur
Mild soreness afterward (similar to a workout)
Typically followed by improved mobility and reduced tightness
⸻
🏆 Clinical Insight
I am full-body certified in dry needling, and honored to be one of the first two Occupational Therapists in Louisiana history to achieve full-body certification through LOTA approved training.
This allows me to safely and effectively treat:
Upper extremity
Lower extremity
Cervical, thoracic, and lumbar spine conditions
⸻
🛠️ Often Combined With:

Manual therapy (soft tissue, joint mobilization)
Stretching and mobility work
Corrective exercise
Strengthening progressions• Activity modification
Dry needling is most effective when integrated into a full orthopedic rehab plan—not used in isolation.
⸻
⚠️ Disclaimer: This content is intended for rehabilitation professionals and educational purposes only. It is not medical advice. Always use clinical judgment and follow state practice guidelines.