- Take out a fuller review every fifth treatment or earlier if the case requires it.
*Reassess the Numerical Pain Rating Scale (NPRS) and Patient Specific Functional Scale (PSFS) after 5 treatments.
1st Rx 5thRx
/10 /10
/10 /10
/10 /10
2.疼痛和症状英文描述
| 症状描述 | symptoms | pain stiffness tightness swelling numbness soreness cramping |
| 疼痛种类 | Pain type | Intermittent constant none |
| 疼痛性质 | Quality of pain | Ache Throb Sharp Dull Stabbing Burning Pins&needles |
Pain is an important symptom. It may be local, referred, or follow a dermatome or myotome i.e. into Quadriceps with L4 involvement, L4 predominately supplies the Quadriceps Muscle, or a peripheral nerve. Guarding Muscle spasm is often accompanied by severe disc/spinal pain. Palpate and note areas of tenderness/hypertonicity/spasticity. Compare on subsequent visits. Pain may also accompany muscle wasting, so be aware of this and refer if the patient’s condition is deteriorating.
3.常用肌肉解剖英文学习learning about muscles in Englsih：https://www.youtube.com/playlist?list=PLa1-ewu_FWv8Wa3Oizn0jAS9jbmMpNUmA
4.上下肢活动描述description of upper&lower limbs activities：https://naturaltherapysupplies.co.nz/wp-admin/post.php?post=2304&action=edit
5. To meet Privacy Act requirements the following points should be noted.
a) The notes are only to be seen by the patient and clinical staff. They are NEVER to be left where other people could see them.
b) Clinical and financial notes need to be kept separate. In case of an audit by the IRD clinical notes should not be made accessible to them.
c) Consent forms need to be signed by the patient if details from the clinic notes are to be discussed or shown to other practitioners, Insurance companies, used in research. Etc.
6. difference- tender,stiff, tight
| tender | stiff | tight |
| typically describes a sensation of pain, soreness, or sensitivity when pressure is applied to a specific area of the body. It often indicates a localized sensitivity or inflammation in that area. For example, if you have a tender spot on your arm, it means that the area is sensitive and painful when touched or pressed. | refers to a decreased range of motion or flexibility in the joints or muscles. It is often characterized by a feeling of resistance or difficulty in moving a particular body part. Stiffness can be caused by various factors, including muscle tension, joint inflammation, injury, or certain medical conditions. For instance, if you have stiffness in your neck, it means you have limited mobility and it is challenging to move your neck freely. | typically refers to a sensation of tension or constriction in the muscles or tissues. It often implies a feeling of stiffness or reduced flexibility. For example, if you have tight muscles in your neck, it means that the muscles in that area feel constricted or tense, possibly causing discomfort or a limited range of motion. |
| describes a sensation of pain or sensitivity upon pressure | “stiffness” refers to a decreased range of motion or flexibility in the body. | refers to a feeling of tension or constriction |
9.pain,sore&achy
| pain | sore | achy |
| a general term that refers to any unpleasant or uncomfortable sensation experienced in the body. It can range from mild to severe and can be sharp, stabbing, throbbing, dull, or cramp-like. Pain is often a response to injury, inflammation, or an underlying medical condition. It serves as a protective mechanism, signaling potential or actual tissue damage. | Soreness typically refers to a localized discomfort or tenderness experienced in muscles or tissues. It is commonly associated with overuse, strain, or injury. Soreness can be described as a dull, aching sensation that is often felt in specific areas or muscles. It is often temporary and can occur after physical activity, exercise, or prolonged periods of pressure or tension. | an adjective used to describe a dull, persistent discomfort or pain that is often diffused or generalized. It is commonly associated with aching muscles or joints. Achy pain is often described as a deep, lingering, or throbbing sensation. It can be caused by various factors, such as muscle fatigue, tension, inflammation, or certain medical conditions. |
| a broader and more detailed experience characterized by an unpleasant sensation, which can have various causes and may be acute or chronic. | a localized discomfort or tenderness often associated with muscle strain or overuse and is generally temporary in nature. | specifically refers to a dull, persistent sensation of discomfort that is often diffuse and generalized. |