Have been working for a year now in private practice.
This week I have come across two situations in which I
do not have the slighest clue what to do.
1. First patient: history: getting out from trunk
and fell. Lost consciousness but doesn't remember for
how long. No neck pain. Currently has constant
headaches, ear ringing in the left ear and occasional
dizziness. He was cleared by the neurospecialist. I
think he is suffering post-concussion syptoms. Can I
refer him to anyone who could help? Can I do anything
to help?
2. Second patient: Marathon runner, gets pain medial
along tibia after running short period. Pain on
palpation. No pain on AROM, PROM or reisisted. Pain
is located 1/3 of the way down the tibia. Also has a
pain 2/3 way down the tibia along the tibia. This is
resolving with ultraound. Previously (1 year ago) had
stress fracture. Weird thing is this pain was
radiating in a circular fashion around the calf.
Anyone seen something like this? Any ideas on Rx for
his his first pain?
All help would be greatly appreciated.
Nabil K.
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