That’s it for one more placement, and one that I thoroughly enjoyed and gained a lot from.
During the last 3/52 of my musculoskeletal placement I have been treating a chronic pain patient, who has responded very well to treatment (communicative based)
This pt has been attending the clinic for approx 6/12, with her major complaint being R Lx pain and a painful R hip (not referred).
When I first saw her 3/52 ago, her irritability was very high, and manual therapy was limited to GII left rot PPIVMS, and recently some SNAGS on the hip, which worked very well to improve the limited Lx/hip ROM, and decrease pain levels.
I last treated this pt on 2/7 ago, and the affects of the last couple of weeks have been incredible, and I put it down to different communicative strategies. I have spent most of the treatment time with her in the fitness room, basically getting her moving and letting her see what she CAN do. By increasing the positive talk, and generally being interested in her wellbeing, she has responded very well, and even stated that she feels the best she has for a long while, and is moving a hell of a lot better!
I guess my main point is that manual Rx has not really differed a lot, however, by addressing other issues, such as a pts negative thoughts can help in the recovery of pts, especially chronic pain pts.
Hope all your placements have gone well.
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