Hi all,
Welcome to your last week of placement! This past week brought more of the same...and by that I mean rehab for #'s. The only problem is that it is much more of a 'set' protocol for this group. While each individual may obviously develop different complications as a result of the injury/surgery you still have to maintain awareness of compensations/tight, short or weak musculature,for examples, but there just isn't as much problem solving involved! I guess I am a little concerned with the lack of spine-associated conditions I have seen. Well one, to be exact, on this placement. I know that in private practice many of these patients can make up a large percentage of your caseload. Thus, if I am so private practice inclined, I am feeling a wee bit apprehensive.... I really do feel that we should have had much more training in the spine. I do not feel that we have been adequately prepared. I know that one will get more competent with time and with experience and maybe I am being too hasty in wanting to be able to successfully 'fix' everyone right away - first visit and wham all better!! :). However I do stand by my opinion that if conditions relating to the spine are a large part of practice, then in reality we should spend more time on it at uni as there are so many techniques - types of mobs for example, that are actually out there - yet we know so few. Yes yes, the time, in what possible hours could we have done that. I guess maybe that is left for post-grad... So, here is hoping that I get a little more comfortable in my rural placement in Mandurah. As for know, orthopedics its you and me baby.
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Hey Donelle,
I have also just finished musculo but appear to have had quite a different clinical experience. I would say the majority of my patients presented for treatment of back pain, Lx, Thx and Cx. There were a few shoulders, knees and ankles thrown in for good measure, but a heap of spinal pain patients. I can understand why you would be feeling apprehensive because as you say, there are so many techniques to know and each person responds slightly differently to them. I think perhaps one of the biggest challenges that new grads face in musculo is not in choosing treatment techniques, but assessment. Being able to feel which segments are not moving enough or in some cases too much really improves the effectiveness of your treatment. I’m sure you will continue to develop this skill and your knowledge of treatment techniques with experience!
Good luck for the PCR!
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