Category: Diagnostic Skills

Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

Introduction Referral in physical therapy is not limited to high-risk cases such as cancer, infection, and others. While physical therapy is often effective in managing various musculoskeletal conditions, there are instances where patients do not respond as expected to treatment. In such cases, referral becomes necessary to explore underlying issues and consider alternative interventions. This article presents two cases where patients failed to respond to … Continue reading Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

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Clinical Tests, Diagnostic Accuracy, Diagnostic Skills, Evidence Based Practice, Hip, Home, Manual Therapeutics

How to Pinpoint Hip Joint Pain: Unlocking the Secrets of Diagnosis

Hip pain can have multiple causes, including non musculoskeletal, lumbosacral spine, intra-articular, and extra-articular. A consensus declaration has defined an evaluation algorithm for distinguishing the musculoskeletal causes of regional hip pain (Takla A et al. 2020). Lumbosacral and extra-articular diseases frequently coexist with intra-articular hip causes of pain (Takla A et al. 2020). As a result, a grasp of the complicated connections of the spine, … Continue reading How to Pinpoint Hip Joint Pain: Unlocking the Secrets of Diagnosis

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Cervical, Diagnostic Skills, Evidence Based Practice, Home, Manual Therapeutics, Neck Pain, Neurologic, Thoracic, Upper Back Pain

Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

Brown-Sequard Syndrome, as delineated in 1849 by Brown-Se´quard CE, emanates from trauma inflicted upon the anatomical hemicord. This trauma precipitates disruption of the descending lateral corticospinal tracts, the ascending dorsal columns (both of which decussate in the medulla), and the ascending lateral spinothalamic tracts, which intersect within one or two levels of the dorsal root entry. While total hemisection, evoking the hallmark clinical features of … Continue reading Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

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Back, Diagnostic Accuracy, Diagnostic Efficiency, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics, Pelvis, Sacral

In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Introduction Low back pain is not a disease, it is a symptom. It can be defined as pain between the bottom ribs and the buttock creases(Dionne et al., 2008). Chronic low back pain patients are always asking about the cause of their pain(McPhillips-Tangum et al., 1998; Cherkin et al., 1998). A lot of people can experience it during their life. For instance, 6.3%–14.4% of people … Continue reading In-field note: a patient appeared with an extraspinal source of referred leg discomfort

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Back, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

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