Page 44 - 2021 IDMT Digital
P. 44

MUSCLE STRAINS
          Introduction:
            •  7KHUH DUH PRUH WKDQ     PXVFOHV LQ WKH ERG\  DOO RI ZKLFK FDQ EH LQMXUHG E\ D YDULHW\ RI
               PHFKDQLVPV
                 o  6WUDLQV RI WKH ORZHU H[WUHPLWLHV DUH H[FHHGLQJO\ FRPPRQ LQMXULHV DQG FDQ EH
                    FDXVHG E\ WUDXPD RU RYHUXVH
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3DLQ RYHU WKH DIIHFWHG PXVFOH
                 o  3DLQ ZLWK PRYHPHQW
            •  )RFXVHG +LVWRU\
                 o  $EOH WR EHDU ZHLJKW LI ORZHU H[WUHPLW\
                 o  $FWLYLWLHV RI GDLO\ OLYLQJ  $'/V
                 o  1XPEQHVV RU WLQJOLQJ
          Objective:
            •  3K\VLFDO ([DP
                 o  7HQGHUQHVV WR SDOSDWLRQ DW WKH LQVHUWLRQ RI DIIHFWHG PXVFOH
                 o  (FFK\PRVLV  VZHOOLQJ SRVVLEOH
                 o  7HQGHUQHVV ZLWK $520 EXW QRQH OHVV ZLWK 3520
                 o  7HQGHUQHVV ZLWK UHVLVWHG 520
            •  7RROV
                 o  &RQVLGHU ; UD\V LI RYHU ERQH RU LI PHFKDQLVP VXJJHVWV SRVVLEOH IUDFWXUH
          Assessment:
            •  'LIIHUHQWLDO
                 o  $YXOVLRQ IUDFWXUH  SDWLHQW XQDEOH WR SHUIRUP $520 LI DYXOVHG WHQGRQ
                 o  2VWHRQHFURVLV RI WKH DVVRFLDWHG MRLQW  FKURQLF GXOO DFKH
                 o  %RQH WXPRU FDQFHU  SDLQ DW UHVW RU DW QLJKW  LQFUHDVHG SDLQ ZLWK ZHLJKW EHDULQJ
          Plan:
            •  $YRLG DJJUDYDWLQJ DFWLYLWLHV
            •  *HQWOH VWUHWFKLQJ WKURXJKRXW 520
            •  5,&(
            •  16$,'V
            •  If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
               administering up to 10 treatment sessions as an alternative to NSAIDs as long as
               there is clinical benefit and no worsening of the patient’s condition





















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