MS system with additional MS diagnosis

Question 1

Patient/client management issues with multiple MSK issues

Answer 1

• prioritizing care of each problem
• accommodating for the impairments presented by multiple problems
• recognizing unusual clusters of symptoms suggestive of additional problems

Question 2

Desribe the shear force in the cervical spine during flexion

Answer 2

• 33% shear force on C4 C5 where the C5 NR comes out
• potentially causing a nerve root impingement that could be causing pain and weakness in the shoulder

Question 3

Explain why it may be good to revisit the cervical and lumbar spine even though there are no overt indication

Answer 3

• MS conditions of the shoulder and hip involving muscle weakness may warrant further investigation of th CS or LS