A 30-year-old male presents to clinic with complaints of hip pain that started about 6 weeks ago. Osteopathic structural examination reveals chronic tissue texture changes of patient’s lumbar paraspinal musculature bilaterally. Standing flexion test is positive on the right. Further examination reveals a right superior innominate shear. Which of the following sets of findings would be expected on examination?

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May 29, 2023 No Comments

A 30-year-old male presents to clinic with complaints of hip pain that started about 6 weeks ago. Osteopathic structural examination reveals chronic tissue texture changes of patient’s lumbar paraspinal musculature bilaterally. Standing flexion test is positive on the right. Further examination reveals a right inferior innominate shear. Which of the following sets of findings would be expected on examination?

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May 29, 2023 No Comments

A 59-year-old female presents to clinic with complaints of low back pain. She said the pain started after tripped and fell 1 week ago. Osteopathic structural examination reveals acute tissue texture changes of patient’s lumbar paraspinal musculature bilaterally. Standing flexion test is positive on the left. Patient’s left ASIS found to be superior when compared to the right. Her right PSIS is found to be inferior when compared to the left. Given the examination findings above, which of the following is the likely diagnosis?

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May 29, 2023 No Comments

A 26-year-old female athlete presents to clinic with complaints of low back pain. She has recently discovered CrossFit and has become an avid participant, exercising 5-6 times weekly. Physical examination is generally unremarkable. Osteopathic structural examination reveals a positive standing flexion test on the right. Her left ASIS appears to be more lateral in comparison to the right and her left PSIS appears to be more medial in comparison to the right. Given the likely diagnosis based off the examination findings above, what other examination findings would you expect in this patient?

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May 29, 2023 No Comments

A 27-year-old female presents to clinic with complaints of left-sided hip pain. The patient states that the pain started 3 weeks ago after the birth of her daughter. History reveals that the patient had a prolonged spontaneous vaginal delivery complicated by a tear of her perineum. Physical examination reveals a well healing laceration in the perineal area. Osteopathic structural examination reveals a positive standing flexion test on the left. Her left ASIS appears to be more lateral than the right ASIS and the right PSIS appears more lateral than the left PSIS. Given the likely diagnosis from the examination findings above, which other somatic dysfunction are you most likely to discover on this patient?

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May 29, 2023 No Comments

A 27-year-old female presents to clinic with complaints of left-sided hip pain. The patient states that the pain started 3 weeks ago after the birth of her daughter. History reveals that the patient had a prolonged spontaneous vaginal delivery complicated by a tear of her perineum. Physical examination reveals a well healing laceration in the perineal area. Osteopathic structural examination reveals a positive standing flexion test on the left. Her left ASIS appears to be more lateral than the right ASIS and the right PSIS appears more lateral than the left PSIS. Given the examination findings above, which of the following is the likely diagnosis?

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May 29, 2023 No Comments

A 57-year-old female presents to clinic with 2 weeks of right-sided groin pain. The patient states that the pain started after tripping off the front steps of her house. She says the pain feels sharp and believes she may have a hernia. Physical examination does not reveal any masses nor protrusion with Valsalva maneuver. The patient has full range of motion of her right hip but does endorse pain with internal rotation. Osteopathic structural examination reveals a right posteriorly rotated innominate. Which of the following findings on examination would be most consistent with the diagnosis of a right posteriorly rotated innominate?

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May 29, 2023 No Comments

A 57-year-old female presents to clinic with 2 weeks of left-sided groin pain. The patient states that the pain started after tripping off the front steps of her house. She says the pain feels sharp and believes she may have a hernia. Physical examination does not reveal any masses nor protrusion with Valsalva maneuver. The patient has full range of motion of her left hip but does endorse pain with internal rotation. Osteopathic structural examination reveals that the left PSIS moves first and furthest when the patient is asked to touch her toes from a standing position. Examination also reveals that the right ASIS is more superior when compared to the left and the left PSIS is more superior when compared to the right. Given this patient’s history and physical examination findings, which of the following is the most likely diagnosis?

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May 29, 2023 No Comments

A 58-year-old male presents to clinic with complaints of lower back pain. He states the pain has been going on for about 3 weeks without radiation down either leg. He is unsure of any inciting events and describes the pain as sharp and rates it a 5/10. Physical exam is generally unremarkable. Straight leg raise test is negative and patient has full strength with sensation intact bilaterally. Osteopathic structural examination reveals a positive standing flexion test on the right, a superior ASIS on the left, and a superior PSIS on the left. Given the exam findings, which of the following is the most likely diagnosis of this patient’s somatic dysfunction?

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May 29, 2023 No Comments

A 66-year-old male with past medical history of uncontrolled diabetes presents to clinic with complaints of low back and right sided hip pain. He reports decreased sensation in his feet which led to a ground-level fall about 2 weeks ago. At the time, he presented to the Emergency Room where fracture was ruled out. He describes the pain as a constant dull ache. Osteopathic structural examination of the affected area reveals a tender point palpated on the right ASIS. You decide to treat the patient utilizing a counterstain technique. Which of the following sets regarding the selected treatment is correct?

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May 29, 2023 No Comments