Author: justin

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Degenerative Disc Disease

Presentation: Inconsistent nature (good days and bad days), loss of ability to touch toes and bend to the sides, am stiffness, family history of bad back, chronic (> 3 months of constant back pain), early lifting career, multiple injuries to lower back lasting greater than 4 weeks. Repetitive lifting jobs. Treatment: Talk to doctor (ostemol, […]
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Chronic L5-S1 Disc Bulge

Presentation: Forward flexion (bending forward) restricted, extension (bending backwards) sore, SLR left = right restricted (refer to straight leg raise video), symptomatic side of TxLx ES hypertrophy (the muscle that runs parallel to the spine on the sore side is bigger than the non sore side), pain in back for > 3 months and calcification […]
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C5-C6 Injury

Presentation Flexion is sore (bending head forwards), shoulder pain, scapula pain, pain down the arm and into forearm (hairy side), side of neck pain and into UT (neck muscles), headaches, crunching and grinding sounds when turning neck, pins and needles or numbness into fingers (trigger fingers). Treatment If not improving by the 6-week mark, CT […]
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C4-C5 Injury

Presentation Extension (bending backwards) is sore, hyperextension of affected side is very sore, shoulder pain, scapula pain, pain down to the edge of the shirt, side of neck pain and into UT (neck muscles), headaches, crunching and grinding sounds when turning neck. Pins and needles / numbness into arm (not into the fingers). Treatment If […]
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C0-C1 or C1-C2 Dysfunction (including OA)

Presentation Rotation (turning the head) to same side is painful or restricted, base of skull headaches on same side, crunching and grinding sounds when turning neck, ear ache and side of head pain. Treatment If not improving by the 6-week mark, CT scan to reveal OA severity or dysfunction within the joint (congenital or traumatic). […]
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Subacromial Bursitis

Presentation Unable to abduct (move arm away from the body to the side) 80-100 degrees, cannot lay on affected shoulder, pain into the arm, pins and needles into hand, positive impingement test (place affected hand onto opposite shoulder and lift elbow upwards – if the shoulder is unable to perform or is painful, then the […]
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Shoulder Impingement Syndrome

Presentation: When raising hands above shoulder height results in pain, unable to put hand behind lower back, unable to abduct arm past 90 degrees, positive reverse empty can test (physio test), positive impingement test (physio test). Unable to lay on shoulder at all. The shoulder feels fine when the affected side is close to the […]
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RC Tear

Presentation Restricted ER (placing hand behind neck) and or IR (putting hand behind the lower back). Reduced ER and or IR strength (physio test). Unable to lift arm up (it feels dead and heavy). Macro-trauma event to create tear (fall, slip, sporting accident. RSI injury (repetitive driving and using the arm). Degenerative aging tears can […]
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Frozen Shoulder (Adhesive capulitis)

Presentation 3 out of the 4 movements are restricted (putting hand behind neck, putting hand behind lower back, moving arm forward, moving arm to the side), stiff end feel in supine (physio test), history of frozen shoulder. Greater than 3 months of shoulder pain. Most frozen shoulders start as a simple bursitis or rotator cuff […]
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Calcific Supraspinatus Tendinopathy

Presentation: When raising hand above shoulder height results in crunching sound, unable to put hand behind back, unable to abduct arm past 90 degrees (move arm out to the side), positive reverse empty can test (physio test), positive impingement test (place affected hand onto good shoulder and lift elbow upwards – test is positive if […]
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