A 35-year-old male patient presents to your clinic with a 2-week history of left shoulder pain and limited range of motion following a fall during a basketball game. He reports landing directly on the tip of his left shoulder. On physical examination, you note mild swelling and tenderness over the left clavicle, and the patient demonstrates limited range of motion in the left shoulder. Based on these findings, you decide to assess clavicular motion to better understand the extent of the patient’s injury. Given the patient’s presentation, which statement best describes the normal physiological motion of the clavicle during shoulder abduction?

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May 30, 2023 No Comments

A 45-year-old female patient presents to your clinic with a 3-month history of numbness, tingling, and pain in her right hand, particularly affecting the thumb, index, and middle fingers. She reports that her symptoms are worse at night and often wake her up. The patient works as a data entry clerk and spends most of her day typing on a keyboard. On physical examination, you note no visible swelling, redness, or deformity of the hand. Based on her history and occupation, you suspect a specific nerve entrapment syndrome in her right hand. Given the patient’s presentation, which physical exam test would best be performed to assess the patient’s issue?

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May 30, 2023 No Comments

A 26-year-old female soccer player presents to your clinic with a 1-day history of severe left knee pain and swelling following a sudden change in direction during a match. She reports hearing a “pop” at the time of injury and has since been unable to bear weight on the affected leg. On physical examination, you note marked swelling and tenderness over the anterior aspect of the left knee. A positive Lachman test and negative posterior drawer test are also observed. Based on these findings, you suspect a specific knee ligament injury. Given the physical examination findings, which knee ligament injury is most likely, and what is the appropriate next step in management for this patient?

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May 30, 2023 No Comments

A 24-year-old male patient presents to your clinic with a 6-week history of anterior knee pain, particularly during activities such as squatting, climbing stairs, and running. The pain has been gradually worsening, and he has not found relief with rest, ice, or over-the-counter pain medications. On physical examination, you note tenderness over the patellar region and crepitus on knee range of motion. Additionally, you observe a slight lateral deviation of the patella during active knee extension. Given the physical examination findings, which muscle should be strengthened to help treat this patient?

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May 30, 2023 No Comments

A 42-year-old male patient presents to your clinic with a 4-week history of low back pain and left hip discomfort. The patient reports that the pain started after playing basketball and has not improved with rest or over-the-counter pain medications. Physical examination reveals tenderness over the left sacroiliac joint, a left anterior superior iliac spine (ASIS) more inferior than the right, a left posterior superior iliac spine (PSIS) more superior than the right, and a positive left standing flexion test. Based on these findings, you diagnose the patient with a specific innominate somatic dysfunction. You decide to use the muscle energy technique for treatment. Given the physical examination findings, which innominate somatic dysfunction diagnosis is most likely, and which patient position is most appropriate for the muscle energy treatment?

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May 30, 2023 No Comments

A 35-year-old female patient presents to your clinic with a 3-week history of low back pain and right hip discomfort. The patient reports that the pain started after a long hike and has not improved with rest or over-the-counter pain medications. Physical examination reveals tenderness over the right sacroiliac joint, a left anterior superior iliac spine (ASIS) more superior than the right, a right posterior superior iliac spine (PSIS) more superior than the left, and a positive left standing flexion test. Based on these findings, you diagnose the patient with a specific innominate somatic dysfunction. You decide to use the muscle energy technique for treatment. Given the physical examination findings, which innominate somatic dysfunction diagnosis is most likely, and which patient position is most appropriate for the muscle energy treatment?

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May 30, 2023 No Comments

A 38-year-old male patient presents to your clinic with a 2-week history of mid-back pain and stiffness. The patient reports that the pain started after lifting heavy boxes while helping a friend move. He experiences difficulty twisting his torso to the right and has noticed muscle tightness on the left side of his mid-back. Physical examination reveals tenderness over the left paraspinal muscles at the T5 vertebral level, restricted left rotation, and restricted left lateral flexion that improves with flexion. Based on these findings, you diagnose the patient with a specific thoracic somatic dysfunction. You decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. Given the physical examination findings, which thoracic somatic dysfunction diagnosis is most likely, and which patient position is most appropriate for the HVLA treatment?

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May 30, 2023 No Comments

A 52-year-old male patient presents to your clinic with complaints of chronic right shoulder pain and limited range of motion. He has a history of rotator cuff injury and has not responded well to conservative treatments. You decide to use the Spencer technique as part of your osteopathic manipulative treatment. Which of the following sequences correctly describes the steps of the Spencer technique?

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May 30, 2023 No Comments

A 45-year-old male patient presents to your clinic with a 6-week history of low back pain and stiffness. The patient reports that the pain started after participating in a charity golf tournament and has progressively worsened. He has trouble bending his torso to the left and has noticed muscle tightness on the right side of his low back. Physical examination reveals tenderness over the right paraspinal muscles at the L2 vertebral level, restricted left rotation, and restricted left lateral flexion that improves with forward flexion. Based on these findings, you diagnose the patient with a specific lumbar somatic dysfunction. You decide to use a High-Velocity Low-Amplitude (HVLA) technique for treatment. Given the physical examination findings, which lumbar somatic dysfunction diagnosis is most likely, and in which direction should the HVLA force be applied to effectively treat the patient’s somatic dysfunction?

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May 30, 2023 No Comments

A 52-year-old female patient presents to your clinic with a 4-week history of mid-back pain and stiffness. The patient reports that the pain started after a long day of gardening and has progressively worsened. She has trouble twisting her torso to the right and has noticed muscle tightness on the left side of her mid-back. Physical examination reveals tenderness over the left paraspinal muscles at the T7 vertebral level, restricted right rotation, and restricted right lateral flexion which improves with extension. Based on these findings, you diagnose the patient with a specific thoracic somatic dysfunction. You decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. Given the physical examination findings, which thoracic somatic dysfunction diagnosis is most likely, and in which direction should the HVLA force be applied to effectively treat the patient’s somatic dysfunction?

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May 30, 2023 No Comments