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Old 10th Aug 2006, 19:35
  #26 (permalink)  
TheFlyingPhysio
 
Join Date: Mar 2006
Location: London & Brisbane
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Now Mac, I 'm back from flying and I was just about to thank you for your earlier comments (3/08/06) but you have gone and spoilt it by saying the physios are taking over ! Perhaps we are just getting better and better at what we do.

Regarding diagnosis, didn't McGill do a classic article on diagnosis and prolapsed intervertebral disc that showed the pitfalls of a diagnostic approach. Anyway, I would not dream of going down that route because from my perspective it is not what we do. However, I was taught to examine thoroughly and you will find that musculoskeletal physios work with symptoms and signs that generate a clinical impression. Those would tell us what to do or not do as appropriate. As for knee pain, if that is where the symptoms are but there are no signs then clinical reasoning tells you to rule out other possible sources such as the hip. Sherlock would have said "Elementary my dear Watson !"

"Rubbish reasoning ?" Flying Dutch what are you trying to say ?

At least Slim_slag is moving with the times.
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