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ATYPICAL 5% OF ID CASES

Exit forum ID Forum Discussion ATYPICAL 5% OF ID CASES

This topic contains 3 replies, has 2 voices, and was last updated by   Christopher Stepien August 11, 2018 at 9:41 am.

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  • #3700

    Christopher Stepien
    Participant

      I recently had a patient with chronic low back and anterior hip symptoms who had full KHE (13″).

      Skipping the full history and diagnosis, I treated her psoas (significant adhesion) and she reported about a 300% increase in her capacity and 75% reduction in her chronic symptoms.

      Other than defaulting to palpation and being mindful of outlier data points when other things aren’t working, do we have any other rules of thumb for sifting through the last 5% of cases that don’t fall into standard ID tests and principles?

      #3714

      Brandon Cohen DC, CSCS
      Participant

        I don’t think so. You didn’t mention any psychosocial overlay or issues in your brief description, but that’s where I tend to place these types of cases. She may just needed someone to talk to and touch her. I’ve learned to trust my palpation though. Like really, almost like they told me in school. Also, was the KHE even on both sides or was the other side like 18″? There’s no better test for hip extension I’ve seen.

        #3715

        William Brady, DC
        Participant

          By definition there is no “rule of thumb” for the 5% of exceptions. You are in the deep end of the pool and need to bring all of your skill to bear on the problem. Truse your palpation, diagnostic passes, development of tension (or not) and response to treatment.

          #3716

          Christopher Stepien
          Participant

            Beautiful. TY Bill.

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