Now don’t get me wrong, I am all for giving advice but at the end of the day nothing can substitute taking down a case history and performing a clinic examination in order to obtain a working diagnosis.
For example an email we received was enquiring about the lubricant injections for a knee problem. The person who was 29 years old and a runner had had an MRI scan and there was a tear in the medial meniscus (cartilage) which did cause the knee to lock but that has since stopped. The MRI also showed up the usual degeneration changes which one would expect.
Now as I have blogged about in the past, MRI are great but they can raise issues which are not contributing to the problem at present.
In this instance I emailed back to say that I did not feel that a lubricant injection would be necessary and that her pain was likely due to the meniscal tear but I would need to examine the knee to get a better picture as to what was occurring.
I suggested that they make an appointment but needless to say there was no further correspondence.
Unfortunately I do not process a crystal ball that I can look at and safely say that yes this is what you have and this will help, I do need to examine the part of the body that is injured!
If you have a problem we are happy to give advice but in terms of a diagnosis then we do need to see you in person.
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