Persistent Weakness Consultation
Persistent muscle weakness after injury or surgery often has a neurological cause that goes unrecognized - a condition called arthrogenic muscle inhibition (AMI). If you've been stuck despite doing everything right, the Persistent Weakness Consultation was built for you.
Virtual Consult
1
A comprehensive virtual session where we take the time to understand your story — injury history, prior treatments, and where you are today. You will leave this call with a clearer picture of what’s driving your symptoms and where to go from here.
60 Minutes
Written Summary & Programming
2
Following your consultation, you'll receive a detailed written summary of our conversation and a personalized exercise program designed around your specific situation. You'll have a clear, tangible resource to guide your next steps and share with your local providers.
Provider Coordination
3
For clients with an existing care team, we connect directly with your provider - sharing our expert perspective and ensuring our recommendations are available to those supporting your recovery.
Follow Up Call
4
Once you've had time to review your summary and begin your program, we reconnect for a call dedicated to your questions, your progress, and any adjustments needed to ensure you feel confident moving forward.
The Expertise Behind Your Consultation
Our consulting team brings doctoral-level clinical expertise and a deep specialization in arthrogenic muscle inhibition that is difficult to find elsewhere. The Persistent Weakness Consultation was developed by David Sherman, PhD, DPT, ATC - a published researcher, Assistant Professor at Northeastern University, and co-director of the Movement Neuroscience Laboratory - whose research on neuromuscular dysfunction after joint injury informs every consultation we provide.
Persistent Weakness Consultation
$750
Disclaimer: The Persistent Weakness Consultation is an educational consulting service and does not constitute physical therapy evaluation, diagnosis, or treatment. Live4, Inc. provides this service as expert guidance and exercise education only. This service does not establish a physical therapy patient-provider relationship. Clients are encouraged to continue working with their local healthcare providers for ongoing clinical care.
Further Reading
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Arthrogenic Muscle Inhibition
A foundational explanation of why inhibited muscles and weak muscles look the same but require entirely different approaches. And why simply working harder in rehab often isn't enough to recover full muscle function after joint injury.
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The Quadriceps Problem
An explanation of why quadriceps weakness after knee injury or surgery often doesn't respond to exercise the way a typical weak muscle would — and why treating inhibition and weakness as the same problem leads to incomplete recovery.
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Rewiring Recovery: Treating Muscle Inhibition After Knee Injury
An overview of how AMI develops after knee injury and what targeted intervention looks like — written for both patients and clinicians.
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Cryotherapy User Guide
Icing a joint before exercise is one of the most effective tools for temporarily reducing muscle inhibition and improving the quality of strengthening work after joint injury or surgery.
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Neural Determinants of Muscle Function in ACL Rehabilitation
A recorded conference presentation exploring the neural factors that drive muscle dysfunction after ACL injury — and what they mean for recovery.
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User Guide to Neuromuscular Electrical Stimulation (NMES)
NMES is one of the most effective tools for addressing muscle inhibition after joint injury. This guide explains how it works and how to use it.
