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This instructional video clip by Dr. Conwell demonstrates how to evaluate patients with presumptive Myofascial Pain Syndrom plus how to evaluate for and conduct a myofascial trigger point exam, the location of specific trigger points in the primary muscles, trigger point response to palpation, and their associated referred pain patterns. The trigger point of the shoulder, rhomboids, anterior neck (scalenes), low back (quadratus lumborum), and buttock muscles (piriformis) are discussed. The video has dynamic graphics of the most common trigger points with their referred reference zones with associated formication (tingling and burning sensation) patterns. To enhance your viewing experience this video is presented without commercials. If you found the information helpful for your medical education please LIKE, SUBSCRIBE, or COMMENT. Your engagement will insure other health care students will have access to this instructional video. Thank you! Check out Dr. Conwell's textbook, THE CLINICAL PICTURE, which compliments and adds to the knowledge gleaned from this video program: Amazon purchase link - https://www.amazon.com/dp/B01JTA8U2G Textbook description - https://www.theclinicalpicture.com/te... Dr. Conwell’s Website - https://www.theclinicalpicture.com/ THE CLINICAL PICTURE is a 350-page textbook that covers the essentials of a comprehensive neuromusculoskeletal examination (medical history & physical examination) and the required documentation (daily office chart note & narrative report). This text is a valuable complementary addition to this teaching video. This YouTube clip is part of an hour-long instructional medical video program by Dr. Conwell that covers in detail how to perform a musculoskeletal screening examination of the SPINE & PARASPINAL STRUCTURES (Program III of a three-program video trilogy) in the clinical setting. The full hour-long instructional video is a valuable aid in assisting students and young clinicians who are looking for a clear and concise vehicle to expand their exam procedures to enhance overall clinical skills. This teaching video may also be very helpful when reviewing for board examinations. Scroll down to learn more about Dr. Conwell’s full 60-minute instructional video programs….. Video Program I – CENTRAL NERVOUS SYSTEM SCREENING EXAM This full hour-long instructional video demonstrates how to perform a neurological examination to evaluate for a CNS lesion which includes screening for mental status, cognition, cerebral cortex, cerebellar function tests (gait, coordination, equilibrium), cranial nerves (CN) & spinal cord tracts. This video also demonstrates the 75 seconds in-office cranial nerve exam. Video Program II – PERIPHERAL NERVOUS SYSTEM SCREENING EXAM This full hour-long instructional video demonstrates how to screen for a PNS lesion. The video covers in detail how to evaluate deep tendon reflexes (DTR’s), perform an upper and lower extremity sensory exam (dermatomes), perform an upper and lower extremity motor exam (Kendall & Kendall muscle grading scale), evaluate the brachial and lumbosacral plexus, and how to perform a “three minute” PNS exam. Click the links below to purchase or rent. • How to Assess the Peripheral Nervous System http://www.theclinicalpicture.com/pur... Video Program III – SPINE & PARASPINAL MUSCULOSKELETAL SCREENING EXAM This full hour-long instructional video demonstrates how to screen for a musculoskeletal lesion of the axial skeleton. The video covers in detail how to perform the visual inspection exam, palpation of the Cervical and Lumbar spine and associated paraspinal tissues, Range of Motion of the Cervical and Lumbar spine (active, passive, resistive maneuvers to DDx sprain v. strain), orthopedic testing (provocative maneuvers), peripheral vascular exam, and evaluating for non-organic physical signs. Disclaimer: This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute the provision of healthcare services. The content provided in this video is for informational and educational purposes only. Please consult with a physician or healthcare professional regarding any medical or mental health-related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.