Conducting the history - Looking for Sensitizing Agents ... The human mind likes to work as such: A + B = C or in the realm of physiotherapy, this could mean muscle weakness + too much load = injury. Certainly there are cases when this is true, but there could also be a few other factors at play leading to an injury. ... In order to assist in teasing out potential agents that could add fuel to a low burning amber in a fire, be sure to ask about the following that place physical demands on the body: ... 1) Aggravating and easing factors. This will assist in initial advice - what may need to be temporarily avoided then added back in for a later date and perhaps do more of what already is known to feel good. 2) Changes in normal physical activity or occupational workloads. This goes without saying, but if there is a rapid change in physical demands over a short period of time or if there is a sustained physical load that could exceed ones capacity, we need to know about this. Load management is the cornerstone in the management of several injuries and injury reduction strategies. 3) Co-morbidities: diabetes mellitus, thyroid conditions, cardiovascular disease risk factors, systemic conditions. These conditions and many others place physical demands on the body and can affect tissue health. For example, can we name one tissue that diabetes does not effect? ... Having a thorough understanding of our patient's injury obtained through good questions and lots of listening, gives both you and the patient a better idea on whats wrong and how to get it better. ... #ampphysio #physiotherapy #physio #physiodetective #historytaking
