293: Navigating Dystonia With Leann Vitale, MS, OTR/L

Is treating dystonia making you stuck? Dystonia remains one of the most challenging neurological conditions for clinicians to understand and treat. In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk to occupational therapist Leanne Vitale, MS, OTR/L about her holistic approach that goes far beyond traditional treatment methods.

Dystonia isn't just a movement disorder; it's a complex interplay of neurological, psychological, and sensory experiences. Leanne emphasizes that understanding dystonia requires looking beneath the surface—much like an iceberg, where visible motor symptoms represent only a tiny portion of the underlying condition.

The path to managing dystonia is not about finding a quick cure, but about comprehensive, patient-centered care. It involves addressing not just physical symptoms, but also psychological factors like stress, anxiety, and personal history. Leanne's approach integrates sensory retraining, nervous system regulation, and personalized strategies that help patients gradually reclaim control.

Crucially, treatment success depends on collaboration—between healthcare providers, and between the clinician and patient. It's a journey of patience, understanding, and gentle, consistent intervention. By recognizing dystonia's complexity and treating the entire person, not just the symptoms, clinicians can offer hope and meaningful improvement to those struggling with this challenging condition.