Your History
Commonly found in the elbow and knee, this inflammation typically happens from repetitive trauma/activity. It is commonly associated with gout or rheumatoid arthritis.
What is Bursitis?
Presents with localized tenderness on the Anatomical Snuff Box.
What is a Scaphoid Fracture?
Arthritis, Bursitis, Tendonitis, Impingement Syndrome, Adhesive Capsulitis, Shoulder Instability, Cervical Disk Disease, Radiculopathy, AC Joint Injuries.
What are Shoulder Injuries?
Splint and Compression Dressing, refer to Ortho, Closed Reduction, Sugar Tong Splint.
Patient is asked to put the dorsal aspect of his/her hands in contact so that their wrists are maximally flexed.
What is Phalen's Test?
An injury caused by heavy lifting often associated with poor conditioning and obesity.
What is Mechanical Lower Back Pain?
Discontinuity of the clavicle at the sternoclavicular joint.
What is a Posterior Sternoclavicular dislocation?
Arthritis, Bursitis, Muscle Strain, Fractures of Epicondyles, Posterior Interosseous Nerve Entrapment, Ulnar Neuropathy.
What are Elbow Injuries?
Place in an Ulnar Gutter Splint and educate patient on the formation of a callus on the back of the hand that will cause a bump after bone healing is complete.
What is a Boxer's Fracture?
In seated position, bear down as if having a bowel movement.
Pain in back or radiating down legs can be indicative of pathology causing increased intrathecal pressure or involving the theca itself
What is the Valsalva Test?
A sharp intense burning pain that radiates down below the knee.
What is Sciatica?
What is Mechanical Lower Back Pain
Mechanical Lower Back Pain, Herniated Disk, Lumbar Disk Disorders, Spinal Stenosis, and Ankylosing Spondylitis.
What are Lumbar Spinal Disorders?
AC Joint Injury type that requires surgery.
What are types IV, V, and VI?
In supine position the examiner raises uninvolved leg.
Complaint of pain on opposite side is further evidence of space-occupying lesion such as herniated disc.
What is the Well leg raise?
A tearing sensation followed by severe pain of my left shoulder after doing some overhead lifting.
What is a Rotator Cuff Injury
Painful Spasms with the head tilted towards the pain and the chin rotated to the other side.
What is Spasmodic Torticollis?
Mechanical Neck Pain, Torticollis, Cervical Spondylosis/Stenosis, Herniated Disk, Central Cord Syndrome.
What is Neck Pain?
Patient Education on red flags (Saddle Paresthesia, Fecal Incontinence, Urinary Retention, Bilat Lower Leg Weakness, Priapism in Males) continue daily activities with pain as the limiting factor, analgesics, chiropractic, and physio.
What is Mechanical Lower Back Pain?
The patient assumes a standing position. The patient is instructed to extend their elbow and fully supinate the forearm. The examiner, standing in front of the patient, resists shoulder flexion from zero-sixty degrees.
If the patient localizes consistent pain to the bicipital groove, the test is positive.
What is the Speed's Test?
I fell forward but I caught myself by sticking my arm straight out. I felt immediate pain and I looked at my hand and I noticed it had this dinner fork look.
What is a Colles Fracture?
Crepitus in the shoulder with a catching motion. Shoulder weakness and pain especially at night for a side sleeper.
What is Impingement Syndrome?
Cervical Spondylosis, Sprain, Fracture, Tendonitis, Generalized Peripheral Neuropathy, Pronator Syndrome, and Ganglion Cyst.
What are Hand and Wrist Injuries?
Referral for Physio
Referral for CT/MRI
Referral to MH - Tricyclic Antidepressants/anticonvulsants
What are Nerve Root Disorders?
With patient standing or sitting, the examiner palpates the lateral epicondyle with their thumb. The patient makes a fist with the forearm in pronation and radial deviation of the wrist. Patients extends the wrist against a force applied by the examiner.
Positive test is reproduction of pain along the lateral epicondyle
What is the Cozen's Test?