Evidenzbasierte Manuelle Therapie integriert die beste zur Verfügung stehende wis-senschaftliche Evidenz mit individuellem klini-schen Urteilsvermögen, Expertise und klinischer Entscheidungsfindung. Zusammenfassung ! Dieser evidenzbasierte Review gibt einen Über-blick über das aktuelle wissenschaftliche Ver-ständnis myofaszialer Triggerpunkte im Hinblick auf Ätiologie, Pathophysiologie und klinische In-dikationen. Outcomes: Following surgical resection of a thoracic schwannoma and three months of rehabilitation, patient recovered completely.ĭiscussion: This case demonstrates the need for physical therapists to judiciously listen to patients’ complaints, even when these do not make sense objectively, and perform a complete neurological examination whenever bilateral limb symptoms are reported, even as common as foot pain. This case report describes the clinical decision-making and differential diagnostic process for a patient with atypical bilateral lower limb pain due to a benign thoracic spinal tumor.Ĭase description: The patient had a sixteen-month insidious onset and progressive aggravation of a bilateral, non-specific foot pain and tingling, followed by left knee pain and weakness, right hip and low back pain, as well as poor balance and gait abnormalities.
Background and purpose: When a patient’s signs and symptoms do not promptly point to a plausible cause of pain or dysfunction, it is important to think about a differential diagnosis.
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