A woman continued to experience severe back and leg symptoms months after a two-week hospital stay. Reassessment identified significant muscular findings, and her function improved over several treatments. This case explores why the original cause of pain and the factors maintaining it may not be the same.
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Patients bring symptoms, not diagnoses. Good clinical reasoning means turning those symptoms into clues, forming hypotheses, testing them through history and examination, ruling out alternatives and continually reassessing the evidence.
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This young dancer had heel pain for 8 months. In India, she received 6 months of physiotherapy. All of them diagnosed plantar fasciitis and treated the bottom of her foot. But the pain never truly improved. When she came to my clinic in New Zealand, I found something very different during the examination. She had […]
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