It works!

Hey guys, hope everyone's enjoying their placements.

I'm on musculo at the moment, and on that note, nice work Caroline, so far i have the least number of DNA's or cancellations out of everyone, which was 0 until a patient got his day's confused, you must have made a good impression :-)

I don't really have a question or anything, just wanted to share my experience of my first new patient, which made me feel like i made a difference.

Just to give a basic outline, my patient is a doctor, she presented with cervical and right shoulder pain, that had been intermittent over the last few years. It was clear from assessment that it was a postural loading problem as it was mostly sustained postures that elicited the symptoms, with an acute movement impairment disorder, resulting in the acute episode of cervical and shoulder pain that had brought her to physio. Assessing her AROM i found she had about half range left rotation, which brought on the pain she complained about. After my palpation and PAIVMS and PPIVMS i had found a couple hypomobile segments, and a number that were TOP, but had failed to reproduce her symptoms, so i decided to reassess her PAIVMS in the restricted range, as soon as i did this i managed to reproduce the pain she had presented with, with a left unilateral PA on C2/3. This gave me a bit of a thrill when my patient said "yes that's the pain!" and i pumped the air with my fist. After this little display of enthusiasm i did a left unilateral PA on C2/3 in the restricted rotation range GIII 3x45sec and reassessed to find she had full range left rotation with no pain, and she left a happy patient.

This was a great start to my placement for me and i just thought i'd share it with you all, and hope that you all get similar results with your treatments :-)

James