TY - CHAP M1 - Book, Section TI - Spine, Neuromuscular, and Musculoskeletal Exam of the Chronic Pain Patient A1 - Keel, John C. A1 - Siddiqui, Imran J. A1 - Lavelle, John M. A2 - Bajwa, Zahid H. A2 - Wootton, R. Joshua A2 - Warfield, Carol A. PY - 2016 T2 - Principles and Practice of Pain Medicine, 3e AB - Most patient assessment is the taking of the history itself: Listen to the patients; they will tell you what is wrong with them. Physical examination then serves as a confirmation of your suspicions. Spine, neuromuscular, and musculoskeletal disorders comprise the bulk of conditions seen in the pain clinic, so basic physical exam is reviewed here. The reader is urged to refer to classic texts for more detail regarding this expansive topic: The single vade mecum is Hoppenfeld's Physical Examination of the Spine and Extremities.1 Comprehensive instruction in all musculoskeletal examination maneuvers is found in Magee's Orthopedic Physical Assessment.2 Musculoskeletal examination as well as anatomy, imaging, and management are covered in detail in the “Essentials.”3 A complete text for neurological exam is DeJong's The Neurologic Examination.4 Beyond reading, practice over years is encouraged to attain mastery. We cite utility of common tests in terms of sensitivity and specificity when available. Beyond the science, the art and the truth are that the physical examination is a bonding ritual with patients. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1131930812 ER -