Maitland 12

Question 1

12 questions/topics

Answer 1

1. Basics
2. Chief complaint
3. Location of symptoms
4. Description of pain
5. Aggravating/relieving factors
6. Behavior of symptoms
7. Special ?’s
8. Hx of present episode
9. Hx of previous episode
10. General health
11. Social hx
12. Pt goals

Question 2

Basics

Answer 2

Age, gender, Rx source, dx

Question 3

Location of symptoms

Answer 3

Borders, body chart

Question 4

Chief complaint

Answer 4

-open ended (what can I do for you? I understand your back is bothering you?)
-close down and direct interview

Question 5

Description of pain

Answer 5

-constant: inflammatory component, go slow

-intermittent: mechanical component, may tolerate tissue movement

-throbbing: circulatory component (ex. Migraine headache, smashed thumb)

-sharp, shooting: nerve root

-intensity: scale of 0-10 to subjectively quantify

Question 6

Aggravating/relieving factors

Answer 6

-will help in guiding pattern recognition Rx choices
-examples: intermittent pain = mechanical (move, inflammatory = rest

Question 7

Behavior of symptoms

Answer 7

-daily/weekly cycles?
-problem at night; explore sleep habits
-arthritic; stiff in AM, relieves w/ activity
-extrinsic factors; ex of repetitive strain injuries

Question 8

Special questions

Answer 8

-general concerns; hx of trauma (clear medically), recent or current fever/chills (clear medically)
-each region will have specific special concerns

Question 9

Example of special concerns for knee, spine, and cervical spine

Answer 9

Knee: buckling/locking/swelling
Spine: peripheral weakness/numbness
Cervical spine: dizziness

Question 10

Hx of present episode

Answer 10

-mechanism: acute/traumatic? Incisions/idiopathic? When and how?
-how condition evolved to this point
-long term better or worse?
-dx tests (imaging, blood/lab work)
-interventions to this point had impact?

Question 11

Hx of previous episodes

Answer 11

-change in frequency, severity
-what helped/didn’t help in past

Question 12

General health/associated medical hx

Answer 12

-CV; exercise precautions?
-diabetes; exercise precautions?
-surgeries; metal implants?
-current meds
-pregnancy

Question 13

Social hx

Answer 13

-work issues
-family issues
-compensation issues
-emotional issues
-educational background

Question 14

Patient goals

Answer 14

-what are you here for?
-specific body part (if multiple)