23/05/2024
While on vacation in Bhavnagar, I encountered a situation where a father, like many, takes pride in his daughter's capabilities. He has become an advocate of my expertise in spinal rehabilitation. Presently, he seeks my opinion regarding his friend's wife, who is afflicted with spinal issues. He contemplates whether surgery represents the final recourse for her condition.
During the consultation, the patient reported experiencing pain on the medial side of the thigh and knee.
Key diagnostic points include:
β’ Chief complaint: Inability to stand for extended periods.
β’ Type of pain: Muscular in nature.
β’ Absence of neurological symptoms.
β’ Patient apprehension regarding MRI & CT scans, despite explanations from the spine surgeon, highlighting the perceived gravity of the situation. π¨ scary as patient point of view (Even spine surgon explain the situation that need to do surgery)
β’ Identified muscle weakness, primarily in the Transversus Abdominis (TVA).
β’ Examination of tight muscles, possibly Erector Spinae (ES) or scar tissue.???Differentiation is beautiful journey.
β’ Diagnosis: Muscle weakness-related issues, prompting the expert surgeon to defer surgical intervention until physiotherapeutic assessment confirms balanced strength.