Hello Barry,
I would agree to some extent with your opinion, but when working with
compensible clients, whether you like it or not, a diagnosis is necessary
and because, as you pointed out the arm can have a multitude of problems, an
umbrella term is required and better than an incorrect specific one.
I think that is where the physio is superior with assessment and
identification of exact problems and can provide objective, functional
outcome measures for treatment for these. Henry's recent return of the
dreaded supraspinatis/thoracic outlet/cervical spine etc diagnosis is a good
example.
Even if you have a standard acceptable # femur, the physio would still
assess this for detailed problems
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia
Phone: (612) 95197436
Fax: (612) 95197439
Mob: 0412 33 43 98
----- Original Message -----
From: "Barrett Dorko" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, 23 February 2001 8:50
Subject: Re: OCCUPATIONAL STRESS SYNDROME?
> At 09:14 PM 2/22/01 +0000, you wrote:
> >In the UK it is now called: WRULD. Which stands for "Work Related Upper
Limb
> >Disorder". Would that not be more precise?
> >
> >Bernadette.
> I truly don't get the point of this. As long as this diagnosis remains
> syndromic and makes no attempt to be etiologic, there will be absolutely
no
> way that it will describe the problem or lead the therapist toward a
> solution. Does anyone think that the arm knows that this happened while
> working?
>
> What each of these patients need is a thorough exam by somebody who
> understands how to accurately interpret the findings and assign them
> appropriate relevance. I'm certain that the inconvenience of that it what
> leads bureaucrats to make up names for conditions that categorize the
> patient into neat little boxes.
>
> If you want precision, go to each individual patient and listen to the
> story they and their tissue tell. Anything less enables the system to
treat
> them with less than optimal care.
> Barrett L. Dorko, P.T.
> "The Clinician's Manual" <http://barrettdorko.com>
> Also at <http://rehabedge.com>
> And <http://prorehabonline.com>
> And <http://physicaltherapist.com>
> And <http://rehabmax.com>
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