Page 56 - 2021 IDMT Digital

PATELLAR TENDONITIS
Introduction:
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• 7KLV LV D SUREOHP RI DQWHULRU NQHH SDLQ
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• 3DLQ LV RIWHQ QRWHG DW WKH HQG RI H[HUFLVH EXW FDQ DOVR RFFXU GXULQJ H[HUFLVH
Subjective:
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o $QWHULRU NQHH SDLQ
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o 3DLQ ZLWK MXPSLQJ
• )RFXVHG +LVWRU\
o 5HFHQW H[HUFLVH
o +LVWRU\ RI LQMXU\
o 3DLQ ZLWK PRYHPHQW
Objective:
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o 7HQGHUQHVV WR SDOSDWLRQ RYHU WKH SDWHOODU WHQGRQ
o 0LOG VZHOOLQJ RYHU WKH NQHH
o ,QFUHDVHG KHDW
o 6RIW WLVVXH FUHSLWXV
Assessment:
• 'LIIHUHQWLDO
o 0HQLVFDO LQMXU\ WHQGHUQHVV WR SDOSDWLRQ DORQJ WKH MRLQW OLQH LQMXU\
o $&/ LQMXU\ HIIXVLRQ RI WKH NQHH
o )UDFWXUH WHQGHUQHVV WR SDOSDWLRQ RYHU ERQH
o 3DWHOODU VXEOX[DWLRQ SRVLWLYH DSSUHKHQVLRQ VLJQ
o 3&/ WHDU SRVLWLYH VDJ WHVW SRVWHULRU GUDZHU WHVW
Plan:
• 5,&(
• 16$,'V IRU SDLQ DFXWH
• 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
• 520 H[HUFLVHV HFFHQWULF VWUHQJWKHQLQJ FKURQLF

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