Patient with Pelvic Pain and Constipation Presents with Possible Fracture
Our elderly patient, who is an avid bike rider in NYC, reported having a bike crash and got up to continue riding a few days ago. Instead of starting treatment to help her with her chronic constipation via pelvic rehab as planned, we put on our athletic training hats and proceeded to evaluate this contusion. We held off on sEMG biofeedback, visceral mobilization, intestinal massage, and pelvic floor muscle rehab to assess her limb. Ruling out a possible fracture began: Fractures present with deformity, swelling, black and blue (ecchymosis), and pain. She was fully weight bearing and not...
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