I have been arriving at prac quite early and always allow much longer than what it actually takes me to get there! (Don't worry Jo, I won't ever be late!!) We didn't have our first client until 9.30 which meant we had a fair bit of time to get organized. It's good how we get the referrals the day before so we van see what we will be dealing with and look up anything we are a little unsure about. It has been a good way to ease into the prac, having the referrals. We haven't really have to diagnose anything from scratch, we are given some idea of what is wrong by the referrals and we assess if it's the case. We had a client today where the referral only said some degeneration in the knee and antero-medial knee pain. This gave us more of a chance to work out what was wrong for ourselves. I took the subjective history and Matt did the objective. I realized I had forgotten quite a few of the special tests for the knee and have since gone over them again.
We ended up giving a VMO home exercise and also taped the knee. I felt quite confident in taping the knee after all the practice I have had on my own! We will wait and see if the taping helps her pain at all as the patella was only slightly mal-tracking. Hopefully we can then give the appropriate exercises so the muscles can hold the patella in the right position.
I felt we dealt with this client very well. It took a long time to go through all the tests as we were trying to rule out everything else that could be causing the pain. I try to be mindful of the clients and if they need to be going anywhere in a hurry - we generally just ask them and most have been very patient and happy to give us the time we need. I do feel as if we are getting faster in our assessing though!
It is getting easier to recognize certain conditions and I am starting to find coming up with treatment and exercises a lot easier for the more common problems. We did have some trouble today when trying to prescribe exercises to a client who has had a TKR. We couldn't work out the proper theraband exercises. We had an idea of some we thought would be good but the client couldn't stand up on one leg (as his other knee was bad too) and we struggled to manage doing them in a sitting position. If I get time tomorrow I am hoping to grab a piece of theraband and practice a lot of different exercises!
We also hope to score some brownie points tomorrow as we volunteered to be on the morning tea roster - I have been baking :-)
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