So we met again on the series History taking and clinical examination by anhvanyds and this is the first issue in this year 2021. Today we will together learn about symptoms in musculoskeletal pathology as well as how to exploit a history in English effectively.
The most common symptoms of musculoskeletal disease are neck pain, shoulder pain, arm and hand pain, low back pain, leg pain. and ankle pain …
General questions can be asked when a patient with musculoskeletal symptoms comes to us
– When do you get the pain? (When did you get hurt?)
– Where exactly is the pain? (Where exactly is the pain?)
– How quickly did the pain start? (Suddenly or gradually) (How quickly did the pain start? (Suddenly or slowly))
– Does the pain wake you from sleep? (Did the pain wake you up?)
– Is it associated with numbness / swelling / stiffness / shooting pain / loss of sensation / weakness? (Is it accompanied by numbness / swelling / stiffness / throbbing pain / loss of feeling / weakness?)
See also: The term Musculoskeletal
In order for you to understand better, we will learn about neck pain.
Neck pain can be classified by location and onset. Most neck pain will originate from the posterior portion of the neck in the muscle, nerve, or bone. Most neck pain will be axial (paraspinous region) or radicular, which spread to the shoulder or to one arm or the sides of the arm. Pain from the muscles, blood vessels, and glandular structures, as well as the trachea and esophagus, usually involve the anterior portion of the neck. There are also cases where the pain will involve other organs such as the chest, heart, and esophagus.
Both acute and chronic conditions cause neck pain. Overall, chronic and repetitive pain was associated with genes and environmental factors (such as smoking).
Activities that demand looking upward also causes neck pain. In addition, severe acute trauma can cause neck pain from a fracture, a disk protrusion, or a soft tissue strain. At the beginning of questioning and examination we should make an assessment of whether life-threatening or disabling conditions or conditions. If there are no major injuries, stratify pain based on location.
If the patient is unable to accurately locate the pain, consider whether it involves the lungs, upper chest, heart, or diaphragm. Also, don’t forget to ask about everyday activities or careers that can cause repetitive neck pain. This is an opportunity to explore the client’s routine and ask for details. For example, ask the patient how he or she sits at work, as a secretary may spend hours sitting at the desk or the receptionist will have to look up at the client. everyday.
Questions to consider when asking patients with musculoskeletal symptoms
Pain onset, including time and date of onset
– Repeated actions that cause neck tension such as: twisting, turning the neck to one side or tilting the neck (bend the neck to the side or cradling), go forward (protraction or leaning forward) …
History of current pain and previous neck injury (if applicable)
Note the spinal cord impingement if the patient has the following symptoms:
Acute trauma such as a whiplash (tug-of-the-neck injury: whiplash) is when the head is moved suddenly in one direction and then comes back quickly. This movement can damage your neck.Trauma can happen in a crash.
– Severe chronic or acute neck pain
– Weakness or
– Abnormal gait / inability to walk (gait instability)
Change in bowel or bladder function
Some warning symptoms can be encountered
Dyspnea, sensation of having something stuck in throat, inability to talk, weakness in arms or legs, stinging or itching hand or foot (tingling in hands or feet), stinging or itching like electric current running down the spine when bending (Lhermitte sign), holding dropping things … Especially, when patient has Weakness or lack of movement, questions to ask:
– For how long has your affected area been unstable? (How long is your affected area?)
– Did this follow and injury? (Is it followed by injury?)
– Which joint (s) are affected? (Which joints are affected?)
– Has the instability caused you to fall? (Have you fallen by this immobility?)
– Do you play any sport? Which? (Do you do any sports?)
Above is some information when we exploit the disease with patients with neck pain symptoms. Please practice by asking and re-reading the questions to get an accurate diagnosis.