History of the injury and the patient’s reason why they were injured.
Gait evaluation of walking (running is crucial if their activity requires running) to decide on gait patterns and if the patient’s complaint matches)
Physical examination of the injured part (begin to separate the 3 sources of pain: mechanical, inflammatory, and neuropathic)
Physical examination of possible biomechanics involved
Is there biomechanical asymmetry?
Tentative working diagnosis made
Common Differential Diagnosis: common not rare
Occam’s Razor and the Rule of 3 for initial treatment help
What Phase of Rehabilitation is the patient in at this visit?
Should we do Imaging at this point?
First Decision: What do I have to do to get the pain consistently between 0-2? This is the real reason that the patient has to be put into Phase 1 of Rehabilitation where PRICE rules. The 0-2 pain level realm is where injuries can heal.
Second Decision: How Much Inflammation needs to be Addressed?
Third Decision: Is there any neurological component that should be treated?
Fourth Decision: What mechanical changes can I make in the first few visits that may help the pain relief, better biomechanics, and cause reversal?
Monday, June 6, 2022
14 Point Patient Assessment for Treatment Summary
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