Manual Medicine for the Primary Care Team: A Hands-On Approach

 

Description:

One of the most rewarding and helpful areas of primary care medicine is the opportunity to relieve the suffering of a patient in pain.  Using a hands-on intervention can provide pain relief to the patient and professional satisfaction to the clinician.Manual Medicineoffers primary care physicians, nurse practitioners, and physician assistants the practical, hands-on guidance needed to accurately diagnose and provide initial management of commonly seen musculoskeletal problems. Dr. Frank Domino, along with physical therapists Steve Messineo and Mark Powicki, walk you step by step through the approach to a clinical problem (such as back pain or knee pain) and treatment. These easy-to-use maneuvers provide initial treatment that reduces suffering.

 

Table Of Contents:

 

Dedication & Acknowledgments

Contents

Video Index

Additional Resources

PART 1 • Overview of Manual Medicine

1 Introduction

2 What Is Manual Medicine?

Approaches and Philosophies

Myofascial Release

Positional Release Therapy

Muscle Energy Techniques

Benefits of Manual Medicine

Methods and the Approach of This Book

3 Mindfulness and Breathing

4 Kinesiology Tape

Taping Methods

5 Coding And Billing For Manual Medicine

CPT Coding

Documentation

Initial Visit

Follow-Up/Interval Visit

Kinesiology Tape

PART 2 • Treatments

6 Neck and Upper Back Pain

History

Differential Diagnosis

Physical Examination

Postural Assessment

Neck and Shoulder Range of Motion

Palpation

Special Tests

Cervical Compression

Spurling Test

Cervical Distraction

Treatments

Postural Correction

Mobilization

Manual Therapy

Kinesiology Taping

Treatment Summary

Mobilization

Manual Therapy

Kinesiology Taping

Sample Procedure Notes and Coding

Patient Resource: At-Home Neck Stretches

Mobilization: Stretching Strap or Towel

Mobilization: Tennis or Softball

Scalenes Stretch

Patient Resource: At-Home Upper Back Stretches

Wall Stretch

Upper Trapezius Ball Self Massage

Doorway Stretch

Patient Resource: At-Home Mid-Back Stretches

Floor Stretch

Mid Back: Stretch With Dowel

Levator Scapulae Self Stretch

Patient Resource: At-Home Rhomboid Stretches

Door-Frame Stretch

Rhomboid and Middle Trapezius Self Stretch

7 Shoulder

Introduction

Diagnosis

Differential Diagnosis

History Consistent With Impingement Syndrome (Rotator Cuff Tendonitis)

Testing for Impingement Syndrome (Rotator Cuff Tendonitis)

Testing for Joint Laxity/Subluxation/Dislocation

Treatment

Mobilization

Kinesiology Taping for Shoulder Pain

Sample Procedure Notes and Coding

Patient Resource: Shoulder Stretches

Mobilization With Softball

Shoulder Range of Motion

Rows (Isometric Scapular Engagement)

Self-Stretch

Bilateral Doorway (Pectoralis/Anterior Capsule) Stretch

Patient Resource: Rhomboids Stretches

Door-Frame Stretch

Patient Resource: Subscapularis Stretches

Subscapularis Stretch With Dowel

Subscapularis Stretching Strap

Rhomboid and Middle Trapezius Self-Stretch

8 Acute Chest Discomfort

Introduction

Differential Diagnosis

Symptoms and History

Physical Examination

Treatment

Treatments for Upper Crossed Syndrome and Costochondritis

Treatment Summary

Upper Crossed Syndrome and Costochondritis

First Rib Syndrome

Sample Procedure Notes and Coding

Patient Resource: Upper Cross Syndrome

Shoulder Range of Motion

Rows (Isometric Scapular Engagement)

Wall and Neck Stretch

Bilateral Doorway (Pectoralis/Anterior Capsule) Stretch

Stretch With Dowel

Stretching Strap

Subscapularis Stretching Strap

Levator Scapulae Self-Stretch

Ball Stretch

Patient Resource: First Rib Syndrome

Stretching Strap Exercises

Patient Resource: Proper Positioning at Your Desk

9 Arm, Elbow, and Wrist Pain

ELBOW PAIN

Differential Diagnosis

Physical Examination

Diagnosis

Physical Examination for Pronator Teres Syndrome

Treatment

Forearm Mobilization (for all forearm symptoms)

Treatment for Lateral Epicondylitis and Pronator Teres Syndrome

Treatment for Medial Epicondylitis

Cubital Tunnel Syndrome

WRIST PAIN

Differential Diagnosis

History and Diagnosis

Treatment

Wrist Mobilization

Wrist Traction with Mobilization into Flexion or Extension

Flossing for Carpal Tunnel Syndrome

Kinesiology Taping for Lateral Epicondylitis

Kinesiology Taping for Medial Epicondylitis

Kinesiology Taping for Pronator Teres Syndrome

Treatment Summary

Sample Procedure Notes and Coding

Patient Resource: General Wrist Exercises

Wrist Range of Motion

Traction

Resisted Flexion and Extension

Patient Resource: Carpal Tunnel Syndrome

Patient Resource: Proper Positioning at Your Desk

Patient Resources: Instructions for Medial or Lateral Epicondylitis

Applying an Epicondylitis Strap

10 Acute Low Back Pain

Introduction

Physical Examination

Range-of-Motion Testing

Treatment

Techniques for Flexion Bias (Forward Flexion Reduces Pain)

Techniques for Exension Bias (Backward Extension Reduces Pain)

Additional Syndromes and Treatment With Acute Low Back Pain

Treatments for Radiculopathy and Sciatica

Kinesiology Taping

Treatment Summary

Techniques for Flexion Bias: Forward Flexion Reduces Pain

Techniques for Extension Bias: Backward Extension Reduces Pain

Additional Syndromes and Treatment Seen with Acute Low Back Pain

Treatments for Radiculopathy and Sciatica

Kinesiology Taping

Sample Procedure Notes and Coding

Patient Resource: At-Home Exercises for When Back Flexion Improves Symptoms

Stretching Strap or Dowel

Hip Flexor and Hamstring Stretch

Hook-Lying (90/90)/Isometric Posterior Pelvic Tilt

Piriformis Stretch

Basic Resting Stretch

Patient Resource: At-Home Exercises for When Back Extension Improves Symptoms

Stretching Strap or Dowel Stretch (Sitting)

Gluteus Bridge

Stretching Strap on for Hip Flexors/Quadriceps

Positioning While Sleeping

Patient Resource for Quadratus Lumborum: Self Stretch

11 Upper Leg And Hip

Introduction

Differential Diagnosis

Examination

Iliac Crest Height

FABER (Flexion ABduction External Rotation) or Patrick Testing

Palpation

Treatments

Posterior Leg Pain (Hamstrings, Piriformis, Gluteals)

Piriformis (Tight Hip Extensor Sometimes Causing Sciatica)

Reciprocal Inhibition When Severe Pain Is Present for Posterior Leg Pain

Hip Flexor Stretches for Anterior Hip Pain

Reciprocal Inhibition for Hip Flexor Tightness

ILIOTIBIAL BAND DYSFUNCTION

Diagnosis

Noble Compression Test

Ober Test

Treatment

Hold/Relax for Iliotibial Band

ADDUCTOR DYSFUNCTION

Treatment

Adductor Stretch and Reciprocal Inhibition of Iliotibial Band

External Rotation Adductor Stretch

Treatment Summary

Sample Procedure Notes and Coding

Patient Resources: General Stretches for Leg and Hip Pain

Patient Resources: Exercises for Tight Hip Flexors

Lying Hip Stretch

Bridges

Patient Resource: Tight Hamstrings, Piriformis, and Gluteals

Standing Hamstring Stretch

Patient Resource: Adductor Dysfunction

Patient Resource: External Rotators

Patient Resource

Side-Lying: Iliotibial Band Stretch

12 Knee Pain

Introduction

Differential Diagnosis

Acute Knee Pain

GENERALIZED KNEE PAIN

Diagnosis

Patellofemoral Syndrome

Patellar Tendonitis/Jumper Knee

Treatment for Patellofemoral Syndrome and Patellar Tendonitis

Hip Flexor Stretches

Reciprocal Inhibition for Hip Flexor Tightness

Kinesiology Taping for Patellar Tendonitis

ILIOTIBIAL BAND FRICTION SYNDROME CAUSING LATERAL KNEE PAIN

Diagnosis

Noble Compression Test

Ober Test

Treatment for Iliotibial Band Syndrome

Hold/Relax for Iliotibial Band

Kinesiology Taping for Iliotibial Band Friction Syndrome

ANSERINE BURSITIS AND HIP ADDUCTOR DYSFUNCTION CAUSING MEDIAL KNEE PAIN

Diagnosis

Examination

Treatment

External Rotation Adductor Stretch

Kinesiology Taping for Anserine Bursitis

Treatment Summary

Treatment for Patellofemoral Syndrome and Patellar Tendonitis

Iliotibial Band Friction Syndrome Causing Lateral Knee Pain

Anserine Bursitis and Hip Adductor Dysfunction Causing Medial Knee Pain

Sample Procedure Notes and Coding

Patient Resources for Knee Complaints

Hamstring Bridge

Glute Bridge

Quadriceps Stretch

Quad Sets

Hamstring Stretch

Adductor Dysfunction

13 Foot and Ankle Pain

Introduction

PLANTAR FASCIITIS

Diagnosis

Treatment

Soft Tissue Mobilization of Plantar Fascia

Tibialis Anterior Mobilization

Active Release for Plantar Fasciitis

Navicular Sling for Plantar Fasciitis

Other Treatments

ACUTE LATERAL ANKLE SPRAIN

Diagnosis

Treatment

Spiral Tape for Acute Inversion Sprain

ACHILLES TENDONITIS

Diagnosis

Examination

Treatment

Calf Stretch for Achilles Tendonitis or Peroneal Tendonitis

Trigger Point and Active Release for Achilles Tendonitis

Kinesiology Taping for Achilles Tendonitis

Other Treatments

PERONEAL (LATERAL ANKLE) TENDONITIS

Examination

Treatment

Calf Stretch (Attempt if Not Too Painful)

Other Treatments

Other Treatments

SHIN SPLINTS (MEDIAL TIBIAL STRESS SYNDROME)

Diagnosis

Physical Examination

Treatment

Shin Splint/Anterior Tibialis Active Release

Shin Splint Anterior Tibialis Stretch/Relax

MEDIAL ANKLE PAIN/TARSAL TUNNEL SYNDROME

Diagnosis

Treatment

Kinesiology Taping for Shin Splints and Tarsal Tunnel Syndrome

NAVICULAR FRACTURES

Diagnosis

Examination

Treatment

Treatment Summary

Sample Procedure Notes and Coding

Patient Resources: Foot and Ankle Pain

Foam Roller

Calf Stretch

INDEX

 

An aparitie	1 Oct. 2019
Autor	Dr. Frank J. Domino MD
Dimensiuni	17.53 x 1.02 x 25.15 cm
Editura	LWW
Format	Paperback
ISBN	9781975111472
Limba	Engleza
Nr pag	320