Daily Maestroism

DM #59

Thursday, July 21st, 2016

DM #59: Use your eyes, ask the patient what/how they feel, and stop relying on gadgets to tell you that something has changed. I say it all the time when I teach, look for big things: big asymmetries, big changes, big dysfunction. Yes, it’s important to pay attention to detail, but the majority of the time, if you address the big stuff, the little stuff goes away with it.
A change of 1 degree on the goniometer (Does anyone actually still have one of those? Ok, ok, for post-op patients. Fair enough ?) or 1 mm on a tape measure is likely simply a product of both inter and intra-rater variability. When something “works”, when something feels better, when something makes a difference, you’ll know.
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