Case #24 - Dave Oliver

Case 24.png
Case 24.png

Case #24 - Dave Oliver

15.00

In case #24 I'm joined by Mr. Dave Oliver to discuss a 62 year old male with a chief complaint of medial wrist pain. Among the topics discussed include what key elements in the history most direct the clinician as to the classification, when and how in-depth one should be to screen the spine when the complaint is in the extremities only, how to react when the patient shows reduction in the clinic but explains they're no better upon their return, and many more great takeaways you're sure to use in the clinic this week.  If you lack confidence in using Mechanical Diagnosis and Therapy in the extremities compared to the spine this might just help kick start you in becoming more proficient. (49min, 13sec)

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Dave Oliver, diplomat and senior instructor with MIUSA offers his thoughts on an elderly male with wrist pain.  We talk about what the patient might say to hint that you, the clinician, can be quite aggressive in the physical exam and what might tell you to start a bit gentler.  We have other discussions on whether to begin unloaded versus loaded and what might guide your choice.  We also get into his clinical experience and those he's spoken to regarding the prevalence of reduction at the wrist found in the sagittal plane versus the frontal plane. 

Plenty of good mechanical assessment and treatment in this interesting peripheral joint patient.