This is a thorough process focused on understanding you and the reason you are coming to the clinic. You have a unique and complex story. Without considering your work, activities, hobbies even habits an elusive issue may always remain elusive.
Your first visit includes a multipart history with time focused on the specific details of the complaint that brought you to our clinic. Expanding on that, potential contributing factors like work, sports, activities, previous injuries, illnesses, surgeries, diet, medication and more are discussed. Asking the right questions here can shed a great deal of light on the issue. This information then guides a focused physical exam to confirm or refute potential diagnoses.
Much like the history a proper physical exam covers many aspects. Losing movement can be debilitating but also very telling of underlying issues. Going beyond the basics and assessing the quality of functional movements adds exponential detail. These general movements highlight specific orthopedic testing. This involves a grouping of research validated tests proven to isolate and show pathology in specific ligaments, muscles or joints. Following those test manual tissue and joint palpation helps further identify problematic muscles or poor joint alignment.
A Neurological assessment is often absent in other professions until the issue is finally escalated to a neurologist or neurosurgeon. Including an examination of skin sensation (numbness, tingling), motor function (unexplained weakness) and tendon reflexes can offer an early warning about the potential nerve involvement in an injury.