I had a great week at the physical therapy clinic. I had the chance to assist many patients in one on one situations. On Friday I had the opportunity to assist Barret in an interesting lumbar spine evaluation. We had a patient come in who was complaining of low back pain. As Barret began to ask him some questions, we picked up on some interesting information. The patient was diagnosed with in who was complaining of low back pain. As Barret began to ask him some questions, we picked up on some interesting information. The patient was diagnosed with degenerative disc disease in his late teens. In combination with that the patient works construction, has a lot of issues with kidney stones, and had a 20-inch bowel resection around eight weeks ago. We noticed that he had a lot of overlapping issues that could contribute to the pain. He began to describe his pain to us and stated that the pain was the worst in the morning, but that after he got going it would get better. I began to wonder if the degenerative disc in combination with that statement could mean that he was suffering from arthritis, but was not 100% sure as I am not very familiar with it. He told us that he had no radicular pain in either leg. Barret let me perform his strength, ROM, and special tests. I noticed that he had good strength bilaterally along with relatively normal ranges of motion. As I went through his special tests I noticed that he still had no radicular pain or positive signs for a disc herniation or a nerve root impingement. I felt confident that we were dealing with arthritis and I waited for Barret to comment. He informed the patient that he believed he had arthritis at the L4-L5 lumbar spinal segment. I thought this was an awesome experience for myself as I had not had a chance to be a part of an arthritis diagnosis and had to go off of my textbook knowledge of the condition alone. I asked him if he believed he was suffering more from facet joint arthritis or is the degeneration of the disc could lead to bone on bone arthritis in the vertebral body itself. He informed me that it could be a combination of both. I look forward to performing more evaluations in the clinic (as this was only the second I really had the chance to do). It also leads me to believe that I will have the chance to see a lot of injuries I would not typically see. To this point I have been a part of the evaluation process for this injury as well as Thoracic Outlet Syndrome. This week I obtained one attempt in my packet. I have a lot that I need to work on this week for General Medical Conditions.
Each week, the students in our Athletic Training Program are required to post a journal entry. These can be typed our video recordings. Each week we focus on a different topic relating to clinicals, research, EBP, classes, or life in general. We are also graded through our websites, so if you notice any weird notes or things that do not make sense it is probably part of an assignment. Take a minute to check them out!