A 36-year-old male patient presents to your office with complaints of numbness, tingling, and pain in his right arm and hand. The symptoms have been present for six months and have worsened over time. The patient is a professional violinist and spends long hours practicing daily. On physical examination, which of the following findings would most likely be positive in this patient?

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May 30, 2023 No Comments

A 41-year-old female patient presents to your office with a history of recurrent episodes of pain, numbness, and tingling in her left arm and hand. She also reports occasional swelling and cyanosis of her left hand. The patient has a history of a left cervical rib discovered on a previous X-ray. On physical examination, you notice a prominent left cervical rib. What is the most appropriate next step in the management of this patient?

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May 30, 2023 No Comments

A 34-year-old male patient presents to your office with complaints of numbness and tingling in his left hand for the past two months. He also reports occasional pain in the left side of his neck and shoulder. The patient works as a computer programmer and spends long hours at a desk. On the physical examination, Adson’s test is positive. Which of the following conditions is most likely present in this patient?

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May 30, 2023 No Comments

A 52-year-old female patient presents to your office with complaints of low back pain for the past three months. The pain is described as a constant dull ache in the lower back that occasionally radiates to the buttocks. The patient denies any recent trauma or injury. On physical examination, you perform the Spring test, and the patient reports increased pain. Which of the following treatment options is the most appropriate management for this patient’s condition?

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May 30, 2023 No Comments

A 28-year-old male patient presents to your office with complaints of low back pain for the past three weeks. The pain is described as a dull ache in the lower back, which increases with prolonged standing and sitting. The patient denies any recent trauma or injury. On physical examination, you decide to perform the Sphinx test, and the patient reports a reduction in pain. What does a positive Sphinx test suggest?

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May 29, 2023 No Comments

A 35-year-old female patient presents to your office with a complaint of chronic low back pain for the past six months. She reports that the pain is localized to the right sacroiliac joint and exacerbates when standing for extended periods or walking up stairs. Physical examination reveals a tender point over the right sacroiliac joint, and you suspect forward sacral torsion. Which of the following findings on a standing postural assessment would be consistent with a right forward sacral torsion?

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May 29, 2023 No Comments

A 42-year-old patient presents with complaints of low back pain that worsens with prolonged sitting. You perform a standing flexion test and observe that the patient’s left PSIS moves more cephalad compared to the right PSIS. On further examination, you find that the patient’s left innominate bone is positioned more medially compared to the right innominate bone. Which of the following terms best describes the patient’s pelvic dysfunction?

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May 29, 2023 No Comments

A 30-year-old patient presents with complaints of low back pain that worsens with prolonged standing. You perform a standing flexion test and observe that the patient’s right PSIS moves more cephalad compared to the left PSIS. On further examination, you find that the patient’s left innominate bone is positioned more medially compared to the right innominate bone. Which of the following terms best describes the patient’s pelvic dysfunction?

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May 29, 2023 No Comments

A 50-year-old patient presents with complaints of low back pain and tightness. During an osteopathic examination, you notice that the patient’s sacral movement is restricted during the cranial rhythmic impulse. Which of the following sacral movements is typically associated with the flexion phase of the cranial rhythmic impulse?

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May 29, 2023 No Comments

A 60-year-old patient presents with complaints of neck pain, bilateral arm numbness, and difficulty with fine motor tasks, such as buttoning a shirt. The patient denies any history of recent trauma. Which of the following conditions is the most likely cause of the patient’s symptoms?

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May 29, 2023 No Comments