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...rred pain from a visceral structure. Patients will present with lower back pain but the source is not a mechanical structure<ref name="Walcott">Walcott B, == Sources of Visceral Pain ==

Certificate course in Clinical Nutrition. == Presentations ==

...Orthopedic Manual Physical Therapy and is board certified as an Orthopedic Clinical Specialist by the APTA. His teaching history ...t the International Meeting of Advanced Spine Technology, and the National Pain Conference.

...I have a genuine interest & fascination with the various presentations of pain patients that I see. I believe that I learn more from the patients who don' ...s here, for example if you site on the board of any professional bodies or clinical interest groups.<br>

My research area involves the elderly people. Paper presentations in national and international physiotherapy congress. ...s here, for example if you site on the board of any professional bodies or clinical interest groups.<br>

...r of Physical Therapy program at Baylor University, where I teach anatomy, clinical neuroscience, neuromuscular practice, and advanced patient management. This ...rea of neurologic rehabilitation. I became board certified as a neurologic clinical specialist in 2013.

...keletal conditions and/or multiple pathologies and/or mental health and/or pain management needs. Deliver programmes of supported patient self-management, ...ook forward to share my knowledge and experience to make an advancement in Clinical Settings.

...ultiple pathologies referred to the service, using advanced analytical and clinical reasoning skills. ...udent physiotherapist. This involves teaching analysis and interpretation, clinical reasoning, supervision and marking of case scenarios, audits and projects.

...xperience in the field. He believes that the cause of the majority of pain presentations has multiple causes and only an accurate and clear assessment of each patie ...injuries, spinal injuries, back pain, postural problems, muscle and joint pain, whiplash injuries, accidents injuries, orthopedic surgery overuse/overtrai

...usculoskeletal symptoms may present with:<ref name=":0">Brukner P. Khan K. Clinical Sports Medicine. 3rd edition. Sydney: McGraw-Hill 2006.</ref> ...|Chronic low back pain]] or [[Neck Pain: Clinical Practice Guidelines|neck pain]]<ref name=":0" />

...the first Egyptian physical therapist who designed and presented crossfire presentations at several conferences in Egypt. I believe in lifelong learning, and I alwa ...specific for adolescent idiopathic scoliosis presented with bilateral leg pain: A case report describing an adaptive program and recorded improvement as e

#[[Patient education in Pain Management]] #[[PAIN RELEASE PHENOMENON (PRP)]]

...ise classes and treating a wide variety of musculoskeletal and orthopaedic presentations. ...s here, for example if you site on the board of any professional bodies or clinical interest groups.<br>

...rds for the Provision of CR in Ontario. In addition, Diana has given podia presentations provincially, nationally and internationally, including being an internatio ...s here, for example if you site on the board of any professional bodies or clinical interest groups.<br>

...arvalho, A. Red Alert: How useful are flags for identifying the origins of pain and barriers to rehabilitation? Frontline. 13 (17). 2007</ref>. ...re<ref>Knew WW. [http://www.jospt.org/doi/abs/10.2519/jospt.2017.0507 Neck Pain Guidelines: Revision 2017]. J Orthop Sports Phys Ther. 2017;47(7):511-2.</r

...equence often have a significant number of referrals from Hip Surgeons and Pain Management specialists. Other sources of referrals seen include General Pra ...Pelvic Malalignment Syndrome and its interaction with recalcitrant spinal pain.

...patient-specific functional scale (PSFS) in order to assess and treat back pain efficiently. ...ed in practice<ref name=":2">Koc M, Bayar B, Bayar K. A comparison of Back pain functional scale with Roland Morris disbility questionnaire, Oswestry disab

...o a key symptom in patellofemoral pain. By looking at the patient's entire clinical picture, the correct diagnosis can be made. When tendons act as springs (e.g. the patella tendon during jumping), tendon pain can be related to overload. It is important to understand the different loa

• Regular group projects, tutorial discussions and formal presentations have enabled me to demonstrate effective communication with my peer group a ...s here, for example if you site on the board of any professional bodies or clinical interest groups.<br>

...[https://www.ncbi.nlm.nih.gov/pubmed/19563667?dopt=Abstract Thoracic spine pain in the general population: prevalence, incidence and associated factors in ...of many factors eg the different definitions and duration of thoracic back pain included.

...hat underpins and informs its practice and delivery.&nbsp; The exercise of clinical judgement and informed interpretation is at its core<ref>Chartered Society ...listic approach to the prevention, diagnosis and therapeutic management of pain, disorders of movement or optimisation of function to enhance the health an

...artment physiotherapist would typically be assigned the following types of presentations from triage: === * Provide pain relief such as ice or heat for injury and compression bandaging

...tests were first described by Elvey<ref>Elvey RL: The investigation of arm pain. In Boyling JD, Palastanga N (eds): Grieve’s modern manual therapy: the v ...function and shoulder problems. Physiotherapy, 1982; 68: 66-73.</ref>. If pain is provoked in the very initial position, then there is no need to add furt

== Clinical Presentation == Presentations of nerve damage may include:

...n 1;17:203-7.</ref> Tennis Elbow is the most common cause of lateral elbow pain<ref name=":4">Keijsers R, de Vos RJ, Kuijer PPF, van den Bekerom MP, van de ...% of presentations are self-limiting, not all experience full recovery and pain and discomfort can persist for up to a year. Recurrence is also common in T

* Reticular and intralaminar nuclei dealing with arousal and pain regulation. The reticular formation is constantly making intelligent guesse ...issues such as tingling, numbness, hypersensitivity, and [[Pain Behaviours|pain]]

Several cases are reported on the various presentations f the condition as it occurs in children in the case of 2 children having P ...ncbi.nlm.nih.gov/29812979/ Behr G, Mema E, Costa K, Garg A. Proportion and Clinical Relevance of Intraspinal Air in Patients With Pneumomediastinum. AJR Am J R

...Is forward head posture relevant to cervical muscles performance and neck pain? A case–control study.] Brazilian journal of physical therapy. 2019 Jul 1 Most commonly neck pain arises from poor posture on the bike or a poor bike fit. This includes[[Fil

...ure that would be easy to use and applicable to a large number of clinical presentations.<ref>Stratford P, Gill C, Westaway M, Binkley J. [https://utpjournals.pres ...ome_measures_in_chronic_low_back_pain Outcome measures in chronic low back pain.] European Spine Journal. 2010 Sep 1;19(9):1484-94.</ref>

...ons Continuing Education Opportunity for Physical Therapists|Clinical Case Presentations Continuing Education Opportunity for Physical Therapists]] '''ABSTRACTS/PRESENTATIONS'''

...o F. Intraosseous hyperpressure of the patella as a cause of anterior knee pain. Medscape Orth Sports Med. 1999;3:1–8.</ref> *[[Patellofemoral Pain Syndrome|Patellofemoral pain syndrome]]

...Study of Pain definition of pain: concepts, challenges, and compromises.] Pain, 161(9), 1976-1982.</ref> </blockquote> ...ted the new definition for pain, stated above, in 2020. The description of pain continues with the following notes:

...rombosis, urinary tract infections, osteoporosis, pressure ulcers, chronic pain, and respiratory complications. Acute care, rehabilitation services and ong ...matic brain injury is a large topic area, and can be studied as an area of clinical specialism within physiotherapy, therefore this course is by no means exhau

Meeting presentations Regional Presentations:

...o professional development, learning and education led me to moving out of clinical practice into my role with the Irish Society of Chartered Physiotherapists. ...otherapy colleagues and undergraduate physiotherapy students. I often give presentations and talks related to education, professional development and support networ

...https://pubmed.ncbi.nlm.nih.gov/16641766/ The McKenzie Method for Low Back Pain: A Systematic Review of the Literature With a Meta-Analysis Approach]. Spin ...ificial intelligence to improve back pain outcomes and lessons learnt from clinical classification approaches: three systematic reviews.] NPJ Digit Med 2020;3:

...reer. A systematic review and various studies report the incidence of knee pain ranging from 36% to 62%<ref name=":2">Bini R, Hume PA, Croft JL. [https://w ...pull on the knee joint changing the way the knee functions and cause knee pain. Due to the repetitive motion of the knee in cycling overuse injuries can o

...from:https://www.notredame.edu.au/__data/assets/pdf_file/0013/3046/What-is-pain-part-II-philosophy-behaviours-ANZCA-Blue-Book.pdf (last accessed 20.5.2020) ...c disease may aggravate pain. <ref>Güleç, G., & Güleç, S. (2006). Pain and pain behavior. Agri: Agri (Algoloji) Dernegi’nin Yayin organidir [Agri: The jo

== Clinical Presentation == * joint pain and general achiness

...Which red flags aid the early detection of metastatic bone disease in back pain? Physiotherapy Practice and Research. 2017;38(2): 73-77.</ref> ...differential diagnoses when individuals present with [[Low Back Pain|back pain]] - particularly if the patient is not responding in an expected way or is

...h.gov/pmc/articles/PMC9344960/ Treatment-based classification for low back pain: systematic review with meta-analysis.] Journal of Manual & Manipulative Th ...apy based on clinical practice guidelines for patients with acute low back pain]. Spine. 2003;28:1363-1372. (Level of evidence 1B)</ref>

...ished by a decrease in force transmission from muscle to bone secondary to pain. <ref>dos Santos Franco YR, Miyamoto GC, Franco KF, de Oliveira RR, Cabral ...ntributing and aggravating factors that have resulted in the tendinopathy. Clinical reasoning around various [[Differential Diagnosis of Tendinopathy|different

...little league throwers. A more recent study found a 26% frequency of elbow pain in 9-12 year old baseball players. <ref name="Adirim">Adirim T, Cheng T. Ov == Characteristics/Clinical Presentation ==

...7(6):531–537.''</ref> PGP can affect; pregnant women; athletes with groin pain; can occur after a trauma. The aSLR test is considered positive when it elicits pain in the lumbo-pelvic region or it points out a Motor Control (MC) dysfunctio

* This page discusses clinical triaging principles that must be considered in order to determine if a pati ...elerehabil. 2010;2(2):31.]</ref><ref name=":2">Cottrell, M. and Russel, T. Clinical Triaging and Practical Considerations in Telehealth Course. Plus. 2020</ref

...amaneurology/article-abstract/563564 The Hoover Sign: An Objective-Sign of Pain and/or Weakness in the Back or Lower Extremities. Archives of Neurology]. 1 ...flexion<ref>Cock HR, Edwards MJ. Functional neurological disorders: acute presentations and management. Clin Med (Lond). 2018 Oct;18(5):414-417. doi: 10.7861/clinm

* '''Presently Working as a''' '''Clinical Physiotherapist''' – '''National Institute of Mental Health & Neuroscienc * '''Former Assistant Professor cum clinical physiotherapist in "DCMS College Of Physiotherapy" , Owaisi Hospital &amp;

...,%2C%20lower%20back%2C%20and%20thighs.\</ref><ref name=":3">Chronic pelvic pain syndrome. Wikipedia. Wikimedia Foundation; 2008 . Available from: https://e ...om person to person in ranging severity, type and perpetuity. CPPS-related pain can spread to the buttocks, lower back, and thighs.<ref name=":1" />

...Which red flags aid the early detection of metastatic bone disease in back pain? Physiotherapy Practice and Research. 2017;38(2): 73-77.</ref> ...astases occur in the thoracic spine, the patient may not describe thoracic pain.<ref name=":2" />

...firming (or checking) questions about symptoms: e.g. "You have been having pain at night for a week?" #* general evaluations rather than questions on problem presentations

...those three years that gives me a strong base to promote the education and clinical leadership among students. Currently, I am a doctoral student in the Rehabi ...ical Center. Additionally, as my schedule has permitted, I have acted as a clinical instructor for the DPT students at the University run pro-bono clinic (JAYD

...p clinicians select an appropriate intervention for patients with low back pain, including: ...ticle/96/7/1057/2864925 Treatment-based classification system for low back pain: revision and update.] Physical therapy. 2016 Jul 1;96(7):1057-66.Delitto A

...nce-based practice]] is about integrating the "best research evidence with clinical expertise and client preferences."<ref>Scurlock-Evans L, Upton P, Upton D. Every patient presents with a unique clinical picture. The therapist managing the patient should apply a broad base of ev

...://link.springer.com/article/10.1007/s12178-009-9051-x Lumbar spondylosis: clinical presentation and treatment approaches.] Current Reviews in Musculoskeletal ...h rates of asymptomatic degeneration in the young complicates causality in pain diagnosis.<ref name=":4" />

...w back pain.<ref>Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. </ref> ...t some key features that can help to differentiate between mechanical back pain and inflammatory conditions, as well as discussing other [[The Flag System|

* Location of the [[Pain Assessment|pain]] Screen proximal structures to determine if they are involved in the patient’s clinical presentation. i.e. [[Cervical Anatomy|Cervical joints]], [[Shoulder|Shoulde

...sitis]] (inflammation of a bursa) is one of the leading causes of shoulder pain. It can lead to lost workdays and, in some cases, even disability. ...erity, but may include swelling, excessive warmth at the site, tenderness, pain and/or fever.

...f long head of biceps (LHB) tendinopathy{{#ev:youtube|v=j4vYM7JXSW8}}<ref>Clinical Physio. Classic Long Head of Biceps Tendinopathy. Available from: https://w [[File:Shoulder Pain.png|right|frameless]]

.... [online] NICE. Available at: <nowiki>https://cks.nice.org.uk/topics/neck-pain-acute-torticollis/background-information/prevalence/</nowiki> </ref> ...iotherapy assessment process. Various sources can contribute to acute neck pain:

== Characteristics/Clinical Presentation == ...r>• Pain that is relieved by aspirin within 30 minutes (75% of cases)<br>• Pain that increases with activity and alcohol consumption<br>• Local swelling

= Clinical reasoning processes = In line with the emphasis on clinical reasoning, it is essential that the patient history is used to establish an

...e of pain in 15% to 30% of people with mechanical [[Low Back Pain|low back pain]]. ...s is specific to an inflammatory processes present in the SI joint and the pain sensed is a direct result of those inflammatory processes, whereas sacroil

== Characteristics/Clinical Presentation == ..." /> Symptoms associated with pancreatic cancer include:[[Image:Abdominal pain.jpg|alt=|right|frameless]]

...s ''' - [[User:Hefu Tao|Hefu Tao]] as part of [[The University of Waterloo Clinical Biomechanics Project]] ...No. 2, pp. 69-80). WB Saunders.</ref> accounts for up to 40% of lower back pain<ref name=":0">Beresford ZM, Kendall RW, Willick SE. [https://journals.lww.c

...bility to bear weight on the joint. In hip injury, as with other traumatic presentations, age distribution is bimodal with high-energy trauma in the younger populat ...al Medicine and Rehabilitation, thigh/groin pain and constant back/buttock pain are better indicators of hip OA  than stand-alone tests and reported hip c

...eg is a time-sensitive orthopedic emergency that relies heavily on precise clinical findings. Lower leg ACS is a condition in which increased pressure within a ...ltiorgan failure]], and death. Hallmark symptoms of ACS include the 6 P’s: pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis. The def

...es branching off of the plexus provide innervation to the upper extremity. Clinical signs and symptoms vary with which area of the plexus is involved, and gene ...impact. <ref name="Coene">Coene LN. Mechanisms of brachial plexus lesions. Clinical Neurology and Neurosurgery. 1993;95:24-29.</ref>

Congestive [[Heart Failure|heart failure]] (CHF) refers to the clinical syndrome caused by inherited or acquired abnormalities of heart structure a ...ccumulation ([[Dyspnoea|dyspnea]], orthopnea, [[Oedema Assessment|edema]], pain from [[Liver Disease|hepatic]] congestion, and abdominal distention from as

[See also [[Pregnancy Related Pelvic Pain|Pregnancy Related Pelvic Pain]]] [See also [[Chronic_Pelvic_Pain_Syndrome_-_Male|Chronic Pelvic Pain Syndrome - Male]]]

[[File:3d-medical-image-with-female-holding-neck-pain.jpg|right|frameless]] ..., course, and care: the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.] Spine (Phila Pa 1976). 2008 Feb 15;33(4 Supp

...tent.<ref name="p4">Kinematics of the Spine. In White AA, Panjabi MM, eds: Clinical Biomechanics of the Spine, 1990</ref> ...disk works as a cushion for the mechanical loads.<ref name="p5">Bogduk N. Clinical anatomy of the lumbar spine and sacrum. Elsevier, 2005</ref>

...in pain or pain in the anterior side of the hip, and less commonly buttock pain.<ref name="Groh">Groh MM, Herrera J. A comprehensive review of labral tears ...ef name="Klaue">Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome: a clinical presentation of dysplasia of the hip. J Bone Joint Surg Br 1991;73:423– 4

...WJ, Saifuddin A. Pes anserine bursitis: Incidence in symptomatic knees and clinical presentation. Skeletal Radiol. 2005;34:395–8.</ref>. We can locate this a ...as E, et al. The contribution of selected non-articular conditions to knee pain severity and associated disability in older adults. Osteoarthritis Cartilag

...outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis.] Journal of Manual & Manipulative Therapy. 2010 Jun ...><ref name=":4">César Fernàndez et al.; Manual Therapy for Musculoskeletal Pain Syndromes; Elsevier, 2016&nbsp;</ref>

...condition may affect both peripheral joints and the axial skeleton causing pain, stiffness, swelling, and possible joint destruction. This joint pathology == Characteristics/Clinical Presentation ==

...=":6" /> The knee is made up of the tibiofemoral and patellofemoral joint. Pain experienced in the knee can have various causes. Performing a thorough, det == Common Causes of Knee Pain ==

...xplored. It can, however, be a silent contributor to many presentations in clinical practice.<ref name=":0" /> ...culoskelet Disord''. 2009;10(39).</ref> looked at the prevalence of spinal pain. It found that in one year<ref name=":4" />:

*[[Chronic Pelvic Pain|Pelvic pain]] <ref name="Panman" /> ...tory versus electric stimulation on the pelvic floor muscles: A randomized clinical trial.] European journal of obstetrics & gynecology and reproductive biolog

...(SI) joints, and a common cause of buttocks or [[Low Back Pain|lower back pain]]. Inflammation of the [[Sacroiliac Joint|sacroiliac joint]] may occur seco ...ditions result in the inflammation of the SI joint, leading to significant pain.

...ld M, Mckenna L. Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis. Bri .... <ref>Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus

The purpose of this document is to summarize the clinical evaluation of somebody who has been diagnosed with Achilles Tendinopathy. ...ercholesterolemia]] (HeFH)<ref name=":0" /> - New onset of Achilles tendon pain is often the first sign of hypercholesterolemia and should be investigated

== What Is Causing the Pain? == The diagnosis of Gluteal or buttock pain is complicated due to the overlapping symptoms of many conditions such as <

...can be a very painful condition that may lead to a great deal of distress. Presentations of [[Congenital torticollis|torticollis]] are defined using causal terms su ...argo C, Teive H, Becker N, Baran M, Scola R, Werneck L. Cervical dystonia: clinical and therapeutic features in 85 patients. Arq Neuropsiquiatr 2008;66(1):15-2

== Characteristics/Clinical Presentation<ref name="Cleveland Clinic">Schilder AM. Wegener's Granulomato ...mptoms of other diseases or illnesses but are often vague in the beginning presentations of this disease. &nbsp;The first signs and symptoms include upper respirato

...a general term that encompasses a large number of diseases with different presentations. The terms '[[Muscle Disorders|muscle disease]]', ‘[[Myopathies|myopathy] ...E, Muntoni F. Muscular dystrophy: new challenges and review of the current clinical trials. Curr Opin Pediatr. 2016. 25(6): 701-707.</ref>. At present, treatin

...tinence|urinary]] or fecal incontinence, pelvic organ prolapse, and pelvic pain. ...al examinations by the same practitioner can provide useful information in clinical practice. However, findings between different examiners may not be as accur

...s known as [[Motor Neurone Disease MND|Motor Neurone Diseases]] (MND). Its clinical hallmark is the degeneration of both upper and lower motor neurons, leading ...al therapy is an integral component of the ALS [[Multidisciplinary Care in Pain Management|multidisciplinary]] team and is well-grounded in rehabilitation

...">Mader R, Verlaan J, Buskila D. Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms. Nat Rev Rheumatol. 2013;9(12):741-750.< == Characteristics/Clinical Presentation ==

== Clinical Relevance == ...sequences. Patients may complain of instability, however, most will report pain, reduced accuracy, and decreased velocity with movements of the affected up

...-a-Month'', ''68''(10), p.101314.</ref> Tendinopathy presents with chronic pain, decreased physical function, and reduced participation in activities and a ...orts Med''. 2018;1(1):5-13.</ref> People who struggle with tendinopathy or pain related to tendons have often tried multiple treatment strategies and seen

...ras S, Blais R, Swaine B, Rossignol M. Management of work-related low back pain: a population-based survey of physical therapists. Phys Ther 2005;85(11):11 Work-related low back pain (WRLBP) is a major cause of work absenteeism and accounts for a high propor

...psilateral diffuse shoulder, and arm pain. ROM in the neck is reduced, and pain is relieved with anesthetic blockades. == Clinical Relevant Anatomy ==

**increased pain ...ough to include the true complexity of burns as there are many unaccounted clinical variables [...but] the Parkland formula is a reasonable starting point for

...entions and enhance outcomes. This page provides an in-depth review of the Pain and Disability Drivers Model, which can be used to assess and treat gunshot == Pain and Disability Drivers Model ==

...ng video can be shown to patients who are considering imaging for low back pain. * diagnosis can be more difficult for common clinical presentations (e.g. hip osteoarthritis/frozen shoulder), but it is still easier than when

...ce P, Rodgers M, Romani W. Muscles : Testing and Function with Posture and Pain. 5th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2005.</ref> ...l Pain Syndrome|patellofemoral pain syndrome]]; [[Low Back Pain|lower back pain]]; [[osteoarthritis]]; [[Rheumatoid Arthritis|rheumatoid arthritis]].

== Characteristics/Clinical Presentation == Congenital abnormalities of the spine have a range of clinical presentations. Some congenital abnormalities may be benign, causing no spinal deformity a

...hey will have knee problems related to the discoid meniscus. Such as vague pain in the knee and in some cases there will be an annoying “click” on the == Characteristics/Clinical Presentation ==

...hich give a great platform to expand on as a junior physiotherapist. I had clinical placements in musculoskeletal outpatients (12 weeks), respiratory medicine, ...erapist and I am not afraid to ask for help when I am unsure. In all of my clinical placements I used an evidenced based approach, to help to develop myself to

...tifying vascular pathologies or flow limitations: Important aspects in the clinical reasoning process]. Musculoskelet Sci Pract. 2021 Jun;53:102343. </ref> ...nt, the Framework was developed through rigorous methods and pivots around clinical reasoning and evidence-based practice.