Subjective Ax Flashcards
Where?
Ask patient to point to site of pain
Palpate main site
Treat main site
How long?
What point of the injury cycle
What depth of treatment- acute=less depth, chronic=more depth
Ice or heat? Acute inflammatory- ice
Gives idea of how well they will respond to treatment- explain that often symptoms do not change within the session with an acute injury
How did it start?
Micro or macro trauma
Tells me whether person needs biomechanical assessment
Macro trauma- will not require biomechanical input
Macro- tells us MOI, does it need further investigation
Micro trauma- trigger questions about lifestyle e.g. sleeping, work
Have you had this pain before?
New injury? Or has it been going on for a long time, gotten worse recently?
Is it a reoccurring problem, why have they now decided to get treatment?
Helps build up a history, help form management plan
Long lasting problem- likely more adhesions, contractures, imbalances, weakness etc
Have you had any previous treatment?
What type of treatment
What worked well
What didn’t work well
Any scans or investigations?
X ray? MRI? CT scan? Bloods?
If they have had several investigations- likely to be for physio
How questions
Encourages pt to open up, allows me to gain more info, pt feels they have been listened to
E.g. how is the injury affecting your quality of life, how does it affect your work life