By James Meadows
Guide muscle checking out is a cornerstone job in actual and occupational remedy. Designed to counterpoint, now not complement present tomes within the literature, this ebook offers info that's contained, yet now not conveniently available within the different books. each one muscle or muscle team is gifted on a web page unfold. every one unfold is chock choked with details, containing an image of the muscle attempt, step by step directions for appearing the attempt, the muscle's starting place and insertion issues, and so on.
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Additional info for Differential Diagnosis for the Orthopedic Physical Therapist
If the heat sensation is inflammatory in origin, it will be around the joint or over its superficial aspects. Patients who say they feel unstable or that their head is going to drop off if they move may be right on the money. I have heard reports that post-traumatic patients have died on moving their heads when asked to do so by the physician. These people had undisplaced fractures of the dens that became displaced on relaxing their protective guarding. A less serious complaint is that the spine feels unstable, feels as if it is mov ing about, or consistently clicks.
The topography and nature of referred pain in anyone patient is inadequate as a single factor in differential diagnosis of both the tissue involved and the segmental level. I would add one more to the list. Lancinating (radicular) pain is caused by nerve root or dorsal ganglion involvement and is produced by more than simple compression. Be careful of dissociated pains. Upper lumbar pain associated with shoulder pain is very difficult to reconcile with a single musculoskele tal disorder but easy to associate with a visceral disease irritating the di aphragm.
Short- and long-term memory loss must be reported to the physician for evaluation. Other forms of intellectual impairment include drowsiness, concentration prob lems, comprehension difficulties, and so forth. These will be discussed in more detail in the region-specific examination of the neck. If the patient is complaining of coldness in the hands, ask about color changes. Blueness may indicate venous congestion, whiteness sympa thetic disturbance, and redness certain systemic arthritides or infection.
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