metacarpophalangeal pain

[gcoe]

Hi don roofer

Nothing immediately springs to mind. As a discipline for your own professional development, and also to make matters easier for your colleagues to help you why not write your assessment out in full and in an orderly fashion. What you have described so far includes important points and ideas but there are huge gaps which makes it hard work to interpret eg: detailed HPC? Nature and behaviour of pain, 24 HR symptom change and morning stiffness, hand dominance, does he use a computer ie mouse use could be anissue. When stating ROM did you mean active or passive? Did you carry out accessory movements? Don't be lazy and leave your reader trying to guess. More than happy to respond then.

BTW what does WNR mean?