How to make an MSK case study
Hey everyone my name is Masud and in todays video I’ll be explaining how you can make an MSK case study.
You may want to use this as part of your CPD as a physio or just for your own reference or maybe just to share with colleagues about an interesting case you’ve treated.
I’ll leave an example down below for your reference and I’ll speak briefly on it in it today.
So for an MSK case study you should include things like the background of the person, subjective and objective history, your overall treatment in that session and your plan for the next few sessions with that patient:
Background:
35 Year old Male
Job: Accountant (Desk based)
Sx
HPC (History of presenting condition)
gradual onset of dull Constant ache In the right upper shoulder at 8/10 VAS post road traffic collision 2/52 ago
VAS (Visual analogue scale /10 pain rating)
8/10
PMH (Past medical history)
Mild aasthma
DH (Drug history)
Naproxen
SH (Social history)
wife, dog, 2 kids
Aggravating factors (Aggravating factors)
waking up first thing In morning, static postures, sitting at desk longer than 1 hr
Easing factors (Easing factors)
rest, painkillers, heat
Neuro symptoms (Neuro symptoms)
nill reported
Nature of pain (SIN)
moderate myogenic
24 hr pattern
worse In mornings and evenings
Flags:
nill red flags
Ox
AROM (active range of movement)
Right shoulder flexion - 75%
Observations
Right shoulder elevated
Palpation
mild tenderness on palpation In right upper right shoulder
Strength/functional testing
not tested
Indicative factors
tenderness, VAS,
Special tests
nill
Additional findings
nill
Problem list:
1. Not being able to work desk job for longer than 1hr without ache in the right shoulder
2. Reduced AROM in the right shoulder (flexion)
3. Dull constant ache 8/10 VAS score
Goal: (making sure it’s SMART) I.e To be able to reduce pain by 4/10 VAS in the right upper shoulder within 8 weeks time.
Treatment plan:
Education and advice (pain m/ment advice via use of hot water bottle and gel)
Home exercise programme (stretches, self massage techniques)
Reassurance (length of recovery, long term prognosis)
Soft tissue mobilisation (during face to face sessions to help with pain relief)
Evidence to support treatment plan:
1. Systematic review of therapeutic interventions for Whiplash associated disorders, Teasell et Al (2010). Link: https://www.ncbi.nlm.nih.gov/pmc/arti...
Link to physiopedia page on writing a case study: https://www.physio-pedia.com/How_to_W...
Link to a case study I wrote for persistent low back pain:
https://docs.google.com/document/d/1B...
Link to reflection I wrote on Achilles tendonpathy whilst at university:
https://docs.google.com/document/d/1v...
Hope you found this useful, thanks for watching!
New YouTube : / @masi4579
Instagram ► https://goo.gl/zZMU7E
Snapchat ► masudsaeedi
Facebook ► https://goo.gl/GsYzJp
Tik Tok: @masudsaeedi
My channel may be blocked in the future so if you fancy any more physio videos from me when it does subscribe here : / @masudsaeediphysio2012
