This week I did an eval on a soccer player who was complaining of hip and back pain. Something I found interesting in her history is that the head of her femur is too small for her acetabulum which she says causes various types if muscle a joint pain. She first noticed her pain when she went for a goal shot. She reported a sharp pain 7/10 when she kicked and 4/10 when running. She also reported pain with trunk rotation. I then went on to my inspection where there was no redness, no swelling, no bleeding, and no obvious deformity. Then I began my palpations. I started with her mid back. There was palpable tightness and knots on the left lateral side of her mid back and along para spinals. I also palpated her sacrum and PSIS where there was palpable tenderness and reported pain of 7/10. Her PSIS were also out of alignment. Next I did Range of Motion. I did active, passive, and resisted for hip flexion, hip extension, trunk flexion, and trunk extension. I also had the patient do active trunk rotation. From the ROMs I was able to rule in an oblique and possible para spinal strain. Her strength was a 5/5 hip flexion and 4/5 for hip extension. I then continued to special tests. I found a (+) Long sits, (+) SI compression, (+) SI distraction. Due to her strength, positive special tests, and palpation findings, I believe she had SI dysfunction. My immediate treatment for her was to correct the malalignment and to give her Ice. I feel like this eval was a good step for reaching my goal of becoming more accurate with my evaluations. I felt very confident with my findings and that I was able to flow easily from one section of an eval to another. I did use my special test book to remind me of special test. Although it is acceptable to use a resource while doing an eval, I would like to be at a point where I wouldn’t have to use one as often, especially for simple tests like compression and distraction.
This week I had two attempts, one was performed to mastery.
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This is where I do my weekly clinical blog assignment. There is either a prompt I am responding to, or I just talk about something exciting I saw during the week.
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April 2019
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