CLINICAL CASE 1
CLINICAL CASE 1
Osteopathic manipulative treatment (OMT) is used to treat a patient’s problem associated with somatic dysfunction: impaired or altered function of related components of the somatic (body framework) system—skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements.
HISTORY: A 25-year-old female has had lower back pain for 1 week since playing indoor football. She has muscle spasm in the right lumbar erector spinae muscles and tenderness on the right L2–5 transverse processes, which are resistant to anterior pressure compared to the left side.
ASSESSMENT: (1) Lumbar strain and sprain; (2) lumbar somatic dysfunction (consisting of L2–5 restricted rotation left).
DESCRIPTION: The lumbar somatic dysfunction could also be described as posterior right L2–5 tender points, right lumbar erector spinae muscle spasm, or L2–5 rotated right. In this case, however, L2–5 restricted rotation left is the most specific description and conveys the functional significance of the findings to non-osteopathic practitioners.
Traitement Général Ostéopathique (TGO)
Octobre 2021
Osteopathic manipulative treatment (OMT) is used to treat a patient’s problem associated with somatic dysfunction: impaired or altered function of related components of the somatic (body framework) system—skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements.
HISTORY: A 25-year-old female has had lower back pain for 1 week since playing indoor football. She has muscle spasm in the right lumbar erector spinae muscles and tenderness on the right L2–5 transverse processes, which are resistant to anterior pressure compared to the left side.
ASSESSMENT: (1) Lumbar strain and sprain; (2) lumbar somatic dysfunction (consisting of L2–5 restricted rotation left).
DESCRIPTION: The lumbar somatic dysfunction could also be described as posterior right L2–5 tender points, right lumbar erector spinae muscle spasm, or L2–5 rotated right. In this case, however, L2–5 restricted rotation left is the most specific description and conveys the functional significance of the findings to non-osteopathic practitioners.