Have you had a patient describe lateral hip pain, and almost immediately in your subjective assessment been able to diagnose it as a gluteal tendinopathy? Diagnosing early in the subjective feels great, doesn’t it? Have you also had the less pleasurable experience of discovering later that your early diagnosis of gluteal tendinopathy was less than spot on, and their pain was actually lumbar referred pain or from the hip joint? Or a had a patient present with MRI results like a SLAP or meniscal tear, that ended up being irrelevant and took you down the wrong treatment path? If you’ve been treating for any length of time, you’ll have had at least one (or many) of these experiences where fast, intuitive clinical reasoning has led you astray.
How can we quickly recognise diagnostic patterns, and confirm our diagnoses and treatment decisions with analytical (“slow”) clinical reasoning?
Our clinical reasoning needs a combination of quick recognition and analytical thinking to get the best results for our patients. In this online course series with Dr Mark Jones, Physiotherapist, PhD and co-author of “Clinical reasoning in musculoskeletal practice (2019)” you will discover how to improve your clinical reasoning, subjective history, assessment, diagnosis and treatment results.
You will discover:
This is part 1 in a 5 part series designed to build your clinical reasoning skills and abilities.
In part 2 you will explore how to identify psychosocial factors, patient perspectives and maladaptive thoughts, beliefs and emotions that affect outcomes and play a role in your clinical reasoning.
Part 3 will take you through how to screen for psychosocial factors in your patient interview, how to unpack your patient’s beliefs and feelings, and important areas & questions you need to include in your subjective assessment.
In Part 4 you will explore types of pain your patients experience, including neuropathic, nociceptive and nociplastic (maladaptive CNS sensitisation). You will discover clinical patterns and tests for cervical spine neuropathic pain, and how to identify strength, ROM, motor control and neurodynamic impairments related to your patients pain.
Part 5 covers precautions and contraindications to assessment and treatment, red flags you need to identify, red flags that masquerade as shoulder pain, and when you need to get your patient immediate medical attention. You will explore how to put all of the information you have gained together with clinical reasoning to develop a treatment plan.
Are you ready to take your clinical outcomes to a new level?Start your 7 day trial