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RE: 25 year-old-female with a chief complaint of back pain...

in #omm7 years ago

Ropy tissue with increased resistance

Somatic dysfunction can be acute or chronic. It is possible to differentiate acute changes from chronic changes on history and physical examination. Findings consistent with chronic somatic dysfunction include the following:

-Thin, smooth texture
-Cool, pale, dry skin overlying the area of dysfunction
-Tenderness is present, but it is described as dull or achy
-Edema and erythema are absent
-Ropy tissue with increased resistance
-Decreased muscle tone; sluggish muscle movements

This answer selection is describing ropy tissue with increased resistance. These changes would be seen in chronic somatic dysfunction, and are NOT consistent with acute somatic dysfunction.

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