Let me see what your clinical reasoning is like! SHx/ 54 YO F presented with intermittent bilateral “pins & needles” in her wrists/hands ; 3rd digit numbness + Chronicity - 2 months Sleep affected/unaffected - Yes ; ++night in L) 3rd digit Aggs - Nil movements ; transient symptoms ; worse at night Occupation - Step teacher, and special needles teacher Scans/radiology - Client visited GP for scans. Client went and got CT scan for neck and ultrasound wrists. CT scan Cx result - Moderate left foraminal narrowing C6/7 with potential irritation left C7 nerve Ultrasound wrists result - - Thickening of median nerves within carpal tunnels bilaterally - Right volar wrist ganglion Client visited a Physio who specializes in carpal tunnel & was advised to use splinting at night for the next 4-6 weeks & to avoid loaded wrist extension and to use anti inflammatory gel if pain is excessive. No rehab was prescribed No manual therapy was administered Physio recommended nerve conduction study if symptoms did not settle Here are my questions to you - A) What would your assessment & differential diagnosis be? B) What would your treatment be based on the above? C) How would your treatment plan shape your rebooking strategy? READY. SET. GO 🚀🚀🚀🚀🚀🚀🚀

MASSIVE ANNOUNCEMENT!! The CPG UNIVERSITY will OFFICIALLY be LIVE again on the 1st of Feb! And this time, there will be a 30 DAY FREE TRIAL of the CPG.U. This time, members won’t just have access to a couple of clinical modules with different clinical skills to learn, but there will be WEEKLY group Q&As and 1:1 check ins EVERY WEEK. The ONLY catch is that you have to be on LEVEL 2!! All you need to do, is like and comment on this post to earn 5 POINTS to access Level 2! Let’s make it happen! If you don’t, I hope you enjoy every other clinician in Dubai on Jet Skis with UFC fighters because they joined 😘 LessoGGG Lahhd

Welcome to the FIRST case study in Case study corner! This week, I have a case study that might just bring you to your KNEES! CASE STUDY: Tim is a 27-year-old semi-professional soccer player. One week ago, during soccer training, Tim felt pain in his left knee after kicking the ball. Tim was able to keep playing. He reports that the pain has been increasing in intensity over the last few days especially with activities that require full weightbearing and/ or full knee flexion. WHAT WOULD YOU DO NEXT?