Introduction to Musculoskeletal History Taking and Examination
Normal history taking + risk factors for musculoskeletal disease & a system review
RISK FACTORS: predisposing one to musculoskeletal disease
· Occupation and sport
· Family history
· Infections
· Medication
· Overseas travel
· Previous History of musculoskeletal injury or condition
MUSCULOSKELETAL SYSTEMS REVIEW
Ø If joint(s) have been painful, ask if they have been swollen.
Arthralgia – pain in a joint
Arthritis – inflammation of a joint
Ø Inflamed tendons and joints
§ most stiff and painful after hours of inactivity (eg overnight)
§ “loosen up” with activity.
Assess pain : WWQQAA + B
Where – the location & radiation of a symptom
When – When it began, fluctuation over time, duration
Quality – What it feels like
Quantity – intensity, extent, degree of disability
Aggravating & alleviating factors
Associated Symptoms
Beliefs
- fractures /breaks : torn ligament
- Sprains : myalgias (have you noticed any muscle pains?)
- Movement and walking
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