Chiropractors In Murfreesboro | How We Assess A Ligament injury
There are a lot of chiropractors in Murfreesboro to choose from but a health care product we pride ourselves on being the best doctors in town with the most knowledge on how to treat different injuries. What the best option is for patients and what to do with them once we figure that out. So today I want to go over. So today I want to go over what we do in kind of our process when someone comes in with some type of pain or injury or musculoskeletal problem and the actual process that we take him through. So I was the step one would be a patient coming in and they present with you know an injury to their back their neck maybe even like their knee or their elbow or shoulder and you know there’s lots of different things ligament wise that can happen to a patient and so we want to run through what we do. So the first thing we’ll do is we’ll look at their passive range of motion and if the passive passive range of motion is normal. So let’s take a step back and talk about what has a range of motion as a passive range of motion is where we take the joint the doctors take the joint through the act the range of motion that the arm can do. So we’re not having the patient help at all. So this is normal. We then test active range of motion and what active range of motion is we have the patient run the the joint through the range of motion when using their own muscles.
And if this active range of motion is lost or if it’s if it hurts upon resistance or if there’s weak or painless. We’re going to consider a tendon rupture or neuro compromise. However if the active range of motion is not lost there’s no resistance movement we can painless upon that. We’re going to look at pain and resistance movement especially in a fully stress position if this is something that bothers a patient and we’re going to be considering tendinitis or tennis tennis tennis and a US. But if that pain on or just a movement is not their assertion that full is position but their active range of motion is painful especially if pain is increased with the resistive movement at mid range. They’re going to consider a muscle strain but that’s not the case if multiple muscles are painful we’d consider some sort of vascular compromise like fibromyalgia maybe things like psychologic problems maybe sent out for further evaluation. Jumping back to the initial thing looking at the passive range of motion if that’s not normal. We’re going to look at the active range of motion in the past the range of motion is hard to see if it’s increased. We’re looking to see if this movement is painless and strong first of all and if it is the case and we’re going to consider like a hypermobility problem but if the active range of motion in the passive range motion is not increased and there’s no resistance movement with pain lessness and being strong we’re going to ligament challenge there’s a looming challenges on the patient. And if this reveals abnormal movement and can this can be painful or pain less we’re going to look at a ligament sprain.
But if this is not the case and passive range of motion is decreased and painful we’re on a look at a few things as well. So if there’s a painful arc with passive range of motion in active range of motion with a specific pattern of movement we’re going to be considering articular loose bodies like an ant or an impingement as well. But the painful arc is not there with the active and passive range of motion. We’re going to look at equal restriction see whether they have equal restriction and both active and passive range of motion. However sometimes resists motion an available range of motion is painless and strong. But again if that ego restriction and both active and passive then we’re going to see a passive range of motion itself as increased with with those isometric relaxation attempts. And this is the case we’re going to consider muscle splain as cause of decreased range of motion. But if this is not the case we’re going to consider some sort of bony blockage often due to advanced generative joint changes back to the equal restriction. If this is not the case we’re looking at the sea of active range of motion as normal in a passive range of motion is painful in range if this is the case we’re going to consider the ligament or capsule or sprain or joint subluxation or fixation there. If not no injury evident or patients insincere uncooperative we’ll repeat the testing so we’ll look at from lingering tests at that point in time. A Bulgarian task is basically test to see if someone’s faking.
It’s been known people are utilized in trying to scam the system with an automobile accident to get money out of their insurance which we want to make sure that that is not the case. We want to make sure someone’s actually injured before they come in to see us. If these Leyburn injuries are not positive louvers start looking to the bone structure and see what’s going on with. There’s a Simon if there’s a discussion going on and if there is a misalignment issue we’ll start looking at potentially adjusting these patients and one of the indicators of adjusting is blocking the blockage of what’s called accessory motion and accessory motion is. Is that subtle amount of bone on bone movement that is not under voluntary control. So for example all of the humorous moves on the glide during the abduction there’s a degree of movement measured in millimeters that is necessary yet not under the control of the shoulderDr. muscles to determine whether the accessory motion is available or involves placing join in their Zivic position and tendon Pathways a move one bone or another at the end feel a spring and then joint play is available if there’s a perceived restriction however movement of the joint may be restricted is important to distinguish between the endurance descriptions and the end feel of accessory motions and things like that and range of extremity or spine movement such as flexion extension abduction or induction accessory motion as is generally palpate the joint both with the joint and neutral or open position also with a couple of movement pattern needed to engage actively and passively the joint would not be restricted to that tension or the capsule or muscle with the neural neutralization method. The active and passive techniques take advantage of the Enron position to determine whether the company has in fact occurred.
These are specific guidelines that we use at Healthworks chiropractor some chiropractors in Murfreesboro are not as thorough. Again there’s lots of choices there’s lots of chiropractors in Murfreesboro. You can see at Healthworks chiropractic we really take the time to learn and become really good doctors so we understand what’s going on with patients. But Zivic patterns of extremity and spinal movement are coupled with specific accessory motion so the restrictions an act of moving maybe indirectly an indicator of dysfunction of accompanying sensory emotion of that and company accessory motion is fixed. We’ll go in there chiropractors and Healthworks chiropractic will go in there and adjust the patient. One thing chiropractors in Murfreesboro do in health care product chiropractors do as well is do a good job of referring out for the imaging if necessary. So I want to run through some of the things that we would look for the referrer out. So if we see something in the bone also talk about bone stuff first and one thing that we always look for is what’s a tumour and this could be a primary tumour or metastatic tumour primary tumour meaning it’s come in directly from the bone or metadata that means it’s coming from a different part of the body. The initial valuation in our office at healthcare practic in most chiropractors in Murfreesboro would be an x ray if we see another we’re on the x ray we will want to refer out for an MRI or see t bone scan.
Certainly from a metastasis if we see something like Dukan Droutsas or a fracture the initial valuation will look for local tenderness upon palpitation we’ll use a tuning fork sometimes and take an x ray but if some of those positive we suspect this in the seat scanner possibly MRI would be related and reversible if there’s a stress fracture that is suspected. This will be something we can find upon Pauw patient and all the x ray as well so they’ll be tender spots and there but a bone scan would be really good idea with this as well. We have HauteLook osteomyelitis the X-ray would be the first thing we do that when it’s in a modern MRI of x ray comes back positive. I want to go through some soft tissue stuff as well. Let’s look at the muscles first. So it’s the first time we’re looking at a strain or potentially a ruptured tendon and the initial valuation we’re just to check their active how able they’re actually able to resist pressure if we suspect that rupture especially we’re going to do a sonographer MRI to your point points we’re just going to palpate there’s really nothing to refer out for this. These respond really well to massage and getting adjusted if there’s atrophy in the muscle. We’re just going to kind of watch and observe and electrode diagnostic study would be warranted for that as well. Things like tendonitis we’re into a stretching contraction test to see if that caused any discomfort. Sonographer you would be something we could look at as well for that if we suspected a ruptured tendon they’ll have a lot. They’ll have no passive tensioned effect on them so that nothing will bother them.
So an MRI is certainly warranted if a layman has a sprain or a rupture and check their stability and your stability testing on them and send them off an MRI we suspect a Bursa is the problem we’re going to palpate a lot of the bursars very hot very warm the skin is very hot and warm and tender if need be we’ll generally going to do ice but if need be an MRI would be good to have a mild fasciitis. That’s going to be key ice stretching adjustments if we suspect arthritis and the joint tear bone scan or MRI would be warranted if we’re looking to sell books nation we’re looking for are are testing as far as Pough patients. Radiographic findings are sure to a range of motion that the but as you’re looking for chiropractors in Murfreesboro please consider health care a priority. We are one of the better if not the best of the chiropractors in Murfreesboro. We pride ourselves on getting our patients better and keeping them better. Not only for the short term but for the long term as well.