For the previous question, lack of groin pain has been descr…
For the previous question, lack of groin pain has been described by Keeney et al. (2004) as being .96 sensitive to rule out FAI, labral pathologies. Clicking, catching, or snapping also rule those disorders “in” and not “out”. FAI/labral pathologies/chondral issues can all be exacerbated by running and sitting…beyond many other issues that are included in that category. Continued Findings: AROM/PROM WNL bilaterally Negative SI provocative tests, negative FABER, FADIR, Scour, Active SLR. Palpation 5cm proximal and posterior to greater trochanter revealed reproduction of symptoms. Positive Single leg hop test on concrete, but not on foam padding for reproduction of symptoms. What finding of the objective examination most highly suggests something beyond hip internal articular pathology given the sensitivity of this test?
Read DetailsThe fact that FADIRs is negative highly suggests no internal…
The fact that FADIRs is negative highly suggests no internal hip pathology. The fact that the foam mat also alleviated symptoms compared to concrete indicates that the overall compression occurring through the musculoskeletal system does not appear to be muscle related. The foam surface would make the GM work harder, however, the concrete puts more stress on the skeletal system. Palpation of a weak muscle generally would not lead to a reproduction of symptoms that this patient was experiencing. The Trendelenburg test indicates weakness, so it cannot be ruling out GM weakness. However “why” is it weak has yet to be explored thoroughly in this case scenario. What is the next most likely diagnosis for this patient?
Read DetailsA patient with shoulder pain reports to the physical therapi…
A patient with shoulder pain reports to the physical therapist that he took nonsteroidal antiinflammatory drugs (NSAIDs) approximately 2 to 4 hours ago, and now his shoulder pain is worse. What information does this convey to the physical therapist?
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