Archives: Questions

A 35-year-old female patient presents to your clinic with a 3-week history of low back pain and stiffness. The patient reports that the pain started after participating in a local marathon and has progressively worsened. She has trouble bending her torso to the left and has noticed muscle tightness on the right side of her low back. Physical examination reveals tenderness over the right paraspinal muscles at the L3 vertebral level. You diagnose the patient with lumbar somatic dysfunction and decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. During the treatment, the HVLA force was applied to L3 with the patient’s lumbar spine flexed, rotated left, and sidebent left. The treatment is successful, and the patient experiences a significant reduction in pain and stiffness. Based on the patient’s response to HVLA treatment and the specific treatment technique applied, which of the following was the most likely lumbar somatic dysfunction diagnosis that was addressed during the treatment session?

Read More

A 42-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 during a recent move and has progressively worsened. He has trouble twisting his torso to the left and has noticed muscle tightness on the right side of his mid-back. Physical examination reveals tenderness over the right paraspinal muscles at the T6 vertebral level. You diagnose the patient with thoracic somatic dysfunction and decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. During the treatment, the HVLA force was applied to T6 with the patient’s thoracic spine extended, rotated right, and sidebent right. The treatment is successful, and the patient experiences a significant reduction in pain and stiffness. Based on the patient’s response to HVLA treatment and the specific treatment technique applied, which of the following was the most likely thoracic somatic dysfunction diagnosis that was addressed during the treatment session?

Read More

A 36-year-old female patient presents to your clinic with a 10-day history of neck pain and stiffness. The patient reports that the pain started after painting her house and has progressively worsened. She has trouble turning her head to the right and has noticed muscle tightness on the left side of her neck. Physical examination reveals tenderness over the left cervical paraspinal muscles at the C5 vertebral level. You diagnose the patient with cervical somatic dysfunction and decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. During the treatment, the HVLA force was applied to C5 with the patient’s neck extended, rotated left, and sidebent left. The treatment is successful, and the patient experiences a significant reduction in pain and stiffness. Based on the patient’s response to HVLA treatment and the specific treatment technique applied, which of the following was the most likely cervical somatic dysfunction diagnosis that was addressed during the treatment session?

Read More

A 32-year-old female patient presents to your clinic with a 4-day history of neck pain and stiffness. The patient reports that the pain started after a long drive and has progressively worsened. She has trouble turning her head to the right and has noticed muscle tightness on the left side of her neck. Physical examination reveals tenderness over the left cervical paraspinal muscles, restricted left rotation, and restricted right lateral flexion. Based on these findings, you diagnose the patient with cervical somatic dysfunction. You decide to use the High-Velocity Low-Amplitude (HVLA) technique for treatment. Based on the physical examination findings, which direction should the HVLA force be applied to effectively treat the patient’s cervical somatic dysfunction?

Read More