Case #61 - Bill Oswald

CC 61 cover.png
CC 61 cover.png

Case #61 - Bill Oswald

15.00

In case #61 I'm joined by Mr. William Oswald of New York, NY USA.  Bill presents a patient who initially presented as mechanically unresponsive and outlines his assessment and treatment throughout the episode of care.  He touches on classification hints from the history, decision-making based on the response to the physical exam and joint decision-making with the patient.  He clarifies the response that triggered him to consider if he may need help from other non-conservative providers and more.  This is a great case for those of us who aren't as confident of what to do when the patient doesn't, initially, respond favorably. (57min 35sec)

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In addition to the typical clinical reasoning through the history, physical exam, condition management and patient education Bill touches on:

  • the use of the STarT back screening tool and its implications

  • what our instructors mean by lesion behavior and how it directs their thinking and clinical behavior

  • the biological clinical features which predict a poor outcome and appropriate referral on for further work up, and

  • the proper nomenclature when peripheral symptoms are not responding favorably but static versus progressively worsening