Using symptoms &/or sign modification procedure to manage musculoskeletal pain syndrome

The symptom modification procedure is a clinical reasoning process and is a common practice in the Physical Therapy profession. The symptom modification procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. Typically, the symptom is pain, which can be weakness, falls, or other functional limitations. Then intervening to alter the…

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Intellectual humility and tolerance for ambiguity

When dealing with musculoskeletal pain syndromes uncertainty and ambiguity can cause unease and frustration for both patients and clinicians. The goal is to stamp out uncertainty, but not to stamp out ambiguity. Ambiguity may contain uncertainty. But they are different. Uncertainty is something that is not clearly or precisely determined, something unknown. Uncertainty implies that…

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