Page 62 - 2021 IDMT Digital
P. 62

ANKLE SPRAIN
          Introduction:
            •  0RVW FRPPRQ OLJDPHQW LQMXUHG LV WKH DQWHULRU WDORILEXODU OLJDPHQW  $7)/
            •  0RVW FRPPRQ PHFKDQLVP RI LQMXU\ LV DQ LQYHUVLRQ SODQWDU IOH[LRQ LQMXU\
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  /RFDOL]HG SDLQ DQG VZHOOLQJ RYHU DQWHURODWHUDO DQNOH
                 o  'LIILFXOW\ EHDULQJ ZHLJKW
                 o  0D\ FRPSODLQ RI LQVWDELOLW\
            •  )RFXVHG +LVWRU\
                 o  0HFKDQLVP RI LQMXU\
                 o  3UHVHQFH RI QXPEQHVV RU WLQJOLQJ
                 o  +LVWRU\ RI SUHYLRXV DQNOH LQMXULHV
          Objective:
            •  3K\VLFDO ([DP
                 o  $QWDOJLF JDLW
                 o  6ZHOOLQJ  HFFK\PRVLV RYHU ODWHUDO DQNOH
                 o  520 OLPLWDWLRQV
                 o  3RVLWLYH DQWHULRU GUDZHU WHVW
                 o  3RVLWLYH VXEWDODU WLOW WHVW
            •  7RROV
                 o  2WWDZD DQNOH UXOHV ZLOO KHOS GHWHUPLQH LI [ UD\V DUH QHFHVVDU\
          Assessment:
            •  'LIIHUHQWLDO
                 o  $QNOH IUDFWXUH  ; UD\V ZLOO FRQILUP
                 o  0HGLDO DQNOH LQMXU\  GHOWRLG OLJDPHQW LQYROYHPHQW  LQVWDELOLW\
                 o  $FKLOOHV WHQGRQ UXSWXUH  SRVWHULRU DQNOH VZHOOLQJ  SRVLWLYH 7KRPSVRQ WHVW
                 o  -RQHV IUDFWXUH  WHQGHUQHVV WR SDOSDWLRQ DW WKH EDVH RI WKH  WK PHWDWDUVDO
          Plan:
            •  5,&(
            •  16$,'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
            •  :HLJKW EHDULQJ DV WROHUDWHG
            •  7KHUDEDQG H[HUFLVHV   WRH DOSKDEHW
            •  $LU &DVW VWLUUXS VSOLQW
            •  ; UD\V LI 2WWDZD UXOHV GLFWDWH
            •  ,I IUDFWXUH RQ [ UD\V  (9$& RUWKRSHGLFV FRQVXOW















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