Therapeutic Strategies for Degenerative Joint Disease -Overcoming Pain and Improving Function – Shane Malecha

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Therapeutic Strategies for Degenerative Joint Disease -Overcoming Pain and Improving Function by Shane Malecha,
Salepage link: At HERE. Archive:

Shane Malecha
6 Hours 30 Minutes
Audio and Video
Oct 19, 2016


  • Diagnostic Techniques & Clinical Clues for the Evaluation of DJD
  • Options and Strategies to Prevent or Delay Arthritic Changes
  • Rehabilitation and Recovery Techniques to Return Adult Patients to Active Lifestyles
  • Case Studies and Practice Labs

For many adults, an active lifestyle is simply a way of life. The process of degenerative joint disease, or arthritis, often stops them in their tracks. Getting patients back into action, while curbing patient re-admission and managing Medicare’s multiple procedure payment reduction and therapy cap are challenges you face every day. Attend this seminar and gain valuable tips and strategies to address these challenges.

Join Shane Malecha, PT, DPT, MS, CSCS, and learn the concepts of Degenerative Joint Disease in a way that makes a confusing and often overwhelming topic fun, understandable and applicable to the next patient interaction. Case studies and mock patient presentations not only make the seminar fun and entertaining, they also put the concepts into action, allowing you to create a thought pattern to apply when a patient is in your office. Shane will take you through the assessment process, detailing the key steps of the pathology, evaluation techniques and concepts, specifically including skills to evaluate and treat the degenerative joint.

You will learn the non-operative and surgical interventions currently being used to treat DJD patients, as well as the latest rehabilitation protocols that will take the individual to active once again.





Diagnostic Criteria for Degenerative Joint Disease (DJD)

  • American Medical Association (AMA) Guidelines
  • Arthritis foundation’s guidelines

Patient Presentation

  • Medical history
  • DJD v. Rheumatoid Arthritis v. Gout
  • Other Arthritic conditions

The Pathophysiology of DJD in:

  • Weight-bearing joints
  • Non-weight bearing joints
  • The spine

Joint Conservation

  • Silver Sneakers
  • Ergonomic work and home environments
  • Biomechanics
  • Positional awareness

Techniques to Maintain Mobility

  • Motion is lotion
  • Muscle balance
  • Joint stability
  • Diet and supplements
    • Super foods
    • Over the counter supplements

Medical Management

  • Medication
    • Benefits
    • Risks


  • Arthroscopy
  • Total joint arthroplasty
    • Total hip
    • Total knee
    • Total shoulder
      • Conventional
      • Reverse
  • Ankle
  • MCP replacement

Physical Therapy Management

  • Pre-Hab
    • Introduction of assistive devices
    • Pre-op exercise program
    • Smoking cessation
    • Weight reduction
    • Motivational interviewing techniques

Total Joint Regimens

  • Acute care post-op
    • Post-op teaching
    • Gait instruction specific to intervention
    • Exercise programs
    • Critical pathways
  • Precautions

Outpatient Rehab

  • Program Goals
  • Design of exercise regimen
  • Scar care management
  • Outcome measure
  • Gait Progression
    • Household v. community ambulation
    • Addressing the “What can I do?”
    • Mature adult
    • Middle-aged adult


  • 1+ year to complete recovery
  • Activity guideline
  • Quality of life
  • Cost benefits of activities




Shane Malecha, PT, DPT, MS, CSCS's Profile

Shane Malecha, PT, DPT, MS, CSCS Related seminars and products: 2

Physical Therapist

Aegis Therapies

Shane Malecha holds advanced degrees in Physical Therapy and Biology. He is also certified by the NSCA as a strength and conditioning specialist. His clinical experience includes six years of practice in a variety of settings, including out-patient, in-patient, neurological rehabilitation, and sports medicine. One of his areas of specialization is in spinal assessments and rehabilitation along with fall prevention. Dr. Malecha also contributes his time to the Journal of Orthopedic and Sports Physical Therapy as a reviewer, American Physical Therapy Association’s Advisory Panel of Education, and the Special Olympics FUNFitness program.

Dr. Malecha has practiced for Aegis Therapies since 2009. Other experiences include having been a director of a home health agency and staff clinician for an orthopedic/sports medicine clinic. Dr. Malecha graduated from Massachusetts General Hospital’s Institute of Health Professions with a doctoral degree in 2006. He received his Masters Degree in Science in 2004 from the University of Wisconsin-LaCrosse, and a B.A. in Biology/Pre-Medicine from St. Mary’s University of Minnesota in 2001.

Dr. Malecha has lectured extensively in the areas of medical screening for physical therapy, Lumbar/Thoracic and Cervical evaluation and treatment, vestibular rehabilitation, and fall prevention.

Speaker Disclosures:

Financial: Shane Malecha is receiving a fee for speaking at today’s educational activity.

Nonfinancial: Shane Malecha has no relevant nonfinancial relationships to disclose. 

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