Case #61 - Bill Oswald
Case #61 - Bill Oswald
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)
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