About case report (The methodology of clinical approach)

A case report must be an "honest confession," and it is a "tentative conclusion" of inductive fact from one's clinical practice. Therefore, the attitude of presenting a case report should not be "declaring universal truth," but, it should be "persuading one of the ways." The nature of the clinical practice may be irregular, indeterminate, and complex. Nevertheless, it is the theory to insight and reconfigures specific rules, certainties and simplicity among them. All scientific theories "evolve" as they are selected, discarded, re-selected and discarded again through the process of winning and losing, according to the passage of time. My theory of clinical practice is also a tentative concl

Shoulder Tension That Just Won't Go Away

Shoulder pain is reported to be highly prevalent and tends to be recurrent or persistent despite medical treatment. The pathophysiological mechanisms of shoulder pain are poorly understood. The Sternocleidomastoid muscle with Accessory & superficial cervical plexus. The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The first actions of the muscle are the rotation of the head to the opposite side and flexion of the neck. The accessory nerve innervates the sternocleidomastoid. The accessory nerve (CN XI) is a motor nerve with cranial and spinal portions and supplies the sternocleidomastoid muscle and the upper two-thirds of the trapezius muscle. The ce


Pain originating in the muscles and fascia is very common. Nearly everyone at some point suffers from this type of pain, known as myalgia fasciitis or myofascitis. Chronic myofascial pain, however, involves pain that is chronic, or long lasting and is associated with specific trigger points. Fibres extending from the trigger point to the muscle attachments shorten and form a tight band. From a tight band, the persistent contraction of muscle fibres compresses blood vessels and decreases their blood supply leading to oxygen starvation and tissue damages. The tissue damages result in the release of inflammatory mediators from damaged cells including ions (K+, H+), bradykinin, histamine, 5‐hydr

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