An Accurate Diagnosis At Sydney Muscle & Joint Clinic Penrith

How Our Physios, Exercise Physiologists and Chiropractors Achieve An Accurate Diagnosis

Clinical History & Interview

Acquiring a clinical history and interviewing a patient provides important information for our physios to determine a diagnosis and also establishes a solid foundation for the relationship between our physiotherapists and you-the patient. An appointment begins with an interview, where our physiotherapists compiles a patient’s history of the current injury or complaint as well as past medical history, family history, social history, and other relevant information, such as current medications (prescription and over-the-counter) and dietary supplements.

Pertinent questions our physios and chiros will ask in establishing an accurate diagnosis or what tissue is in lesion includes: what caused the complaint, what makes it worse and better, previous experience, morning pain/stiffness, previous treatment, how would you aggravate it right now, any associated symptoms.

Physical Examination

The physical exam is a hands-on observational examination of the patient by the treating physiotherapist. A careful physical exam can help a clinician refine the next steps in the diagnostic process, can prevent unnecessary diagnostic testing, and can aid in building trust with the patient. At Sydney Muscle & Joint Clinic our physiotherapists, exercise physiologists and chiropractors utilise special test to assess provocation of the injury region. Examples of these include:

  • Lumbar spine: range of motion to P1, KEMPS, slump, SLR, prone instability.

  • Cervical spine: range of motion to P1, KEMPS, cervical flexion, spurlings, ULTT (median, radial, ulna)

  • Shoulder: Hawkins-Kennedy, empty can, full can, O'Briens, painful arc, crank test.

  • Hip: FADIR, FABER, adduction, GTPS point tenderness, FADER, MMT, pubic stress test, squeeze test

  • Knee: McMurrays, Ege's, Apley's, Thessalys, anterior drawer, Clarke's sign

  • Ankle: talar tilt, anterior drawer, hop test.

physio penrith | groin test
physiotherapist penrith | groin test

Diagnostic Testing

Over the last few years diagnostic testing has become a critical feature of standard medical practice, but due to its overuse, costs and negative implications for the patient the use of diagnostic testing should be avoided unless a red flag is present or if evidence based management is not having a normal clinical benefit. In musculoskeletal clinical practice diagnostic testing may include imaging (x-ray, MRI, ultrasound, CT) and diagnostic injections.

At Sydney Muscle & Joint Clinic Penrith we generally don't use diagnostic testing if the results do not change the intervention, if there are no red flags and if it poses a significant detriment to the patient (anxiety surrounding resulting imaging findings).

THE SYDNEY MUSCLE & JOINT PHYSIO PENRITH DIFFERENCE

An Accurate Diagnosis

At Sydney Muscle & Joint Physio Penrith we believe in an accurate assessment to understanding your condition/injury and what tissue is painful and irritable.

Associated Impairments

At Sydney Muscle & Joint Physio Penrith we link your diagnosis or condition to specific impairments, which helps you get the best prognosis, treatment and outcome.

Techniques Proven To Work

At Sydney Muscle & Joint Physio Penrith our philosophy is entrenched in evidence based practice, which means you'll get treatments proven to work.

One on One Private Room

At Sydney Muscle & Joint Physio Penrith your treatment is one on one and in a private room. We don't treat multiple people at once, nor do we have curtains.

APA Physio Penrith.jpg
Physio in Penrith APHRA.jpg
Exercise Physiologist Penrith.png
Titled Physiotherapist in Penrith.png
Medicare Physio Penrith.png
DVA Physio in Penrith.png
NDIS Physio Penrith.png