Osteopathie Praktijk Dana

Osteopathie Praktijk Dana Dé vrouwelijke osteopaat in Amstelveen!

02/03/2025

De meeste baby’s spugen hun voeding weleens op. Wanneer is dat een probleem? En kan osteopathie helpen?

02/03/2025

Een tenniselleboog kan je dagelijks functioneren flink ontregelen. De osteopaat kijkt welke factoren herstel in de weg staan.

05/02/2024

Symbiotic Organs: “While many of these symbiotic organs have traditionally been studied as peculiarities of particular species, some researchers are now pushing to consider them collectively, as extreme examples of what happens when multicellular organisms develop intricate relationships with the microbes around them.”

- Catherine Offord

the-scientist

05/02/2024

Pain Referral & Differentiating Shoulder v Neck Pathology: Analysis by Physio Meets Science

🤷 Physical examination can help differentiate shoulder from neck pathology although there can be significant overlap. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

👉 For identifying a cervical aetiology, the absence of biceps muscle stretch reflex is highly specific for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/12544957/

👉 Spurling’s test has also been shown to have a high specificity (0.93) for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/11805661/)

👉 Shoulder abduction plays a key role in the differentiation of shoulder and spine. Davidson et al showed that 68% of patients with cervical radiculopathy had relief with abduction of the arm, which elevates the dorsal root ganglion away from osteophytes and varicosities causing compression. (https://pubmed.ncbi.nlm.nih.gov/7302677/)

👉 In addition, Viikari-Juntura et al showed that Spurling’s test and the shoulder abduction test were both specific for cervical radiculopathy but were not sensitive. (https://pubmed.ncbi.nlm.nih.gov/2711240/)

👉 Caliş et al showed that shoulder abduction pain was highly specific for rotator cuff related shoulder pain, with a drop arm test having a specificity of 0.97 and a painful arc test having a specificity of 0.80. (https://pubmed.ncbi.nlm.nih.gov/10627426/)

👉 Gumina et al proposed the “arm squeeze test,” which hypothesizes that compression of brachial plexus nerves affected by radiculopathy in the middle arm results in increased pain compared with various shoulder pathologies. They showed a 0.96 sensitivity and 0.90 specificity using this test for the detection of cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/23604976/)

👉Rosedale and colleagues used end-range repeated movements and loading strategies in patients presenting with extremity pain and documented that over 40% of patients with extremity pain responded to spinal intervention and thus were classified as having a spinal source of symptoms. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550529/)

🤕 Pain referral patterns:

▶︎Cervical facet joint C3-6: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ Cervical disc C3-6: https://pubmed.ncbi.nlm.nih.gov/10828920/
▶︎ Musculotendinous Interspace: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ AC Joint &Subacromial : https://pubmed.ncbi.nlm.nih.gov/9752643/
▶︎ C8 Radiculopathy: https://pubmed.ncbi.nlm.nih.gov/16924193/, https://pubmed.ncbi.nlm.nih.gov/38191741/

📸 The following figure summarizes pain referral patterns and differentiating exam findings. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

15/12/2023

Je rug en be**en kunnen pijn doen tijdens je zwangerschap omdat je banden versoepelen. Osteopathie kijkt verder dan het verstevigen van je spieren.

18/06/2023

Abdominopelvic Pain: “Abdominal pain can strike at any time, and sometimes it can be difficult to determine whether or not it is an emergency. This is because abdominal pain can occur as a result of numerous causes – including indigestion, intestinal gas, food poisoning, menstrual cramps, heartburn, gallstones, pancreatitis [1], inhibited blood supply to the colon (also known as ischemia), stomach cancer [2], kidney stones, inflammatory bowel disease, umbilical hernia, appendicitis or a urinary tract infection.

If abdominal pain is mild and does not inhibit a person’s ability to function, or does not otherwise compromise quality of life, people generally choose to carry on, opt for an over-the-counter or home remedy, or schedule a non-urgent appointment with their medical practitioner. Sometimes, however, it is not easy to decipher whether or not your abdominal pain requires immediate medical attention. Abdominal pain can sometimes indicate serious illness and thus should not be ignored.

If your abdominal pain is severe or persists more than 24 hours, it is typically recommended by professionals that you see a doctor or go to the ER right away. You could very well be dealing with something as simple as cramps or minor food poisoning, but it would be beneficial to have a second opinion to rule out life-threatening illness. Pay close attention also to accompanying symptoms (for example fever, painful urination or constipation) [3] and bring them to the attention of the physician. You should also call a doctor or get to a hospital immediately if your abdominal pain is accompanied by bloody diarrhea, bloody vomit, black stools, or fever above 101ºF / 38.3ºC.

A severe pain in the abdomen could mean appendicitis, which can be a life threatening problem. However, appendicitis is often difficult to diagnose in the early stages – and by the time it has become severe, it can be very dangerous. For example, the younger brother of the author of this article was diagnosed with the stomach flu by his doctor. The doctor sent him home, where he stayed drinking chicken soup and tea, thinking all he needed was rest and home remedies to recover. However, his condition worsened. When the pain became so severe that he was rushed to the Emergency Room, he received a far more extreme diagnosis: His appendix had ruptured and he needed an urgent laparoscopic appendectomy to save his life.

Although there is often “overlap” between the areas of the abdomen that may be in pain due to a particular cause, this general chart may be of value in a preliminary assessment. However, we do stress that (as with the rest of this website) this is not medical advice, and that appropriate professional medical care should be sought, especially in cases of greater severity.”

- Analysis by Clinical Anatomy & Operative Surgery

http://www.herbs-info.com/blog/know-your-abdominal-pain-chart/

16/06/2023

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