A 69-year-old female presents to clinic with complaints of upper back and neck pain. She has a past medical history of hypertension, hyperlipidemia, and diabetes mellitus. She states her upper back and neck pain have been ongoing for years. She describes the pain as a constant, dull ache for which she takes NSAIDs with moderate relief. Examination reveals the OA joint to be extended and rotated right. Further examination reveals the AA joint to be rotated left. The patient also has areas that are tender to palpation along the bilateral trapezius, rhomboid, and thoracic paraspinal musculature. Which of the following correctly describes the HVLA technique to treat the OA somatic dysfunction?

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May 29, 2023 No Comments

A 69-year-old female presents to clinic with complaints of upper back and neck pain. She has a past medical history of hypertension, hyperlipidemia, and diabetes mellitus. She states her upper back and neck pain have been ongoing for years. She describes the pain as a constant, dull ache for which she takes NSAIDs with moderate relief. Examination reveals the OA joint to be flexed and rotated right. Further examination reveals the AA joint to be rotated left. The patient also has areas that are tender to palpation along the bilateral trapezius, rhomboid, and thoracic paraspinal musculature. Which of the following correctly describes the HVLA technique to treat the AA somatic dysfunction?

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May 29, 2023 No Comments

A 47-year-old female presents to the clinic with neck pain. She states the pain has been ongoing for almost a year. She has tried over-the-counter medications which only provided mild relief. She has also tried massage therapy which she says relieved her pain, however it returned soon after. Osteopathic structural examination of the cervical spine reveals that the transverse process of C7 is deeper on the right when compared to the left. The restriction seems to worsen upon flexion of the neck. Which of the following is the correct patient positioning to perform muscle energy for this patient’s cervical somatic dysfunction?

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May 29, 2023 No Comments

A 47-year-old female presents to the clinic with neck pain. She states the pain has been ongoing for almost a year. She has tried over-the-counter medications which only provided mild relief. She has also tried massage therapy which she says relieved her pain, however it returned soon after. Osteopathic structural examination of the cervical spine reveals that C4 is restricted in translation to the left. The restriction seems to improve upon flexion of the neck. Which of the following is the correct patient positioning to perform muscle energy for this patient’s cervical somatic dysfunction?

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May 29, 2023 No Comments

A 44-year-old female presents to clinic with complaints of neck pain that has been ongoing for a couple months. She says that she has started a new job and spends most of her day seated behind a desk. She has tried over the counter medications without relief. Vitals are within normal limits. Osteopathic structural examination reveals that her AA joint is rotated to the left. You decide to treat the patient using a HVLA technique. Which of the following best describes the correct HVLA technique to be performed on this patient?

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May 29, 2023 No Comments

A 63-year-old female presents to the clinic with complaints of chronic mid-back pain. Osteopathic structural examination reveals T6 to be rotated right. The asymmetry improves as the patient flexes forward. You decide to treat the patient with HVLA techniques. Which of the following would be the initial set-up given this patient’s diagnosis?

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May 29, 2023 No Comments

A 63-year-old female presents to the clinic with complaints of chronic mid-back pain. Osteopathic structural examination reveals T12 to be extended, rotated left, and sidebent left. You decide to treat the patient with a muscle energy technique. You place the patient in a position in which T12 is flexed, rotated right, and sidebent right. You then ask the patient to move into a position of extension, left rotation, and left sidebending against your resistance. After 3-5 seconds, you tell the patient to rest and reposition the patient to engage the restrictive barrier. Which of the following muscle energy techniques was utilized in this case?

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May 29, 2023 No Comments

A 63-year-old female presents to the clinic with complaints of chronic mid-back pain. Osteopathic structural examination reveals T6 to be rotated right. The asymmetry improves as the patient flexes forward. You decide to treat the patient with muscle energy techniques. Which of the following directions will you ask the patient to move into while performing the muscle energy technique?

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May 29, 2023 No Comments

A 63-year-old female presents to the clinic with complaints of chronic mid-back pain. Osteopathic structural examination reveals T6 to be rotated right. The asymmetry improves as the patient flexes forward. You decide to treat the patient with muscle energy techniques. Which of the following would be the initial set-up given this patient’s diagnosis?

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May 29, 2023 No Comments

A 72-year-old male presents to the emergency room with complaints of shortness of breath. He has a long and complicated history of heart failure exacerbations. In addition to providing supplemental oxygen and administering diuretics you decided to start lymphatic techniques to help alleviate the patient’s bilateral lower extremity edema. Which of the following lymphatic techniques would be the most appropriate initial treatment?

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May 29, 2023 No Comments