The physical examination of the neck and back region is a fundamental part of the standard physical exam. It understandably relies on the previous comprehension of the anatomy and physiology of the nervous and musculoskeletal systems. Mainly, this exam consists of a thorough inspection, palpation, and manipulation of the neck and back.
The assessment focuses on the integrity and proper functioning of the muscles, ligaments, joints, bones that make up the neck and back, as well as the spinal cord and emerging nerves. The key is to identify signs of abnormal functioning as well as to narrow down the causes of a patient’s back, neck, or joint pain, including injuries to the soft tissues, degenerative bone diseases, motor neuron disorders, among many others.
All practicing clinicians need to take this course. They have forgotten the significance of hands on and correlating the exam with diagnostic testing. Most if not all have some pathological changes that can be found on imaging. That doesn’t mean that is the diagnoses of the chief complaint. I have never had a clinician examine me in that fashion. Some barely touch. As a practicing veterinarian for over 45 yrs , I can attest to the abnormalities found on imaging studies that are causing absolutely no clinical signs. Back to the basics. History and Physical Exam!
I am taking in this moment semioLogy of the upper extremities