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Re: WNL and Ortho testing

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Some are reported as present or absent,

and are not associated with pain. The anterior drawer of the ankle and knee is

an example. There are positive with increase excursion compared to the

asymptomatic side.

Ted Forcum,

DC, DACBSP

'08 US Olympic Team Chiropractor

ACA Sports Council, President

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From:

[mailto: ] On Behalf Of g macdonald

Sent: Tuesday, November 04, 2008

3:44 PM

Subject: WNL and

Ortho testing

Hello All,

Maybe a DABCO could answer this or anyone else that wants a stab at it.

Doing orthopedic testing, if I remember correctly, is not reported as

" within normal limits " (WNL) since what the heck does that mean anyway?

I thought they were reported as + for pain or - for pain and report the pain

type and location. Would that not be more descriptive then WNL?

Anyone care to help me with this.......

Garreth Mac

Eugene OR

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Correct....for the most part.....tests are generally "positive" or "negative" signs are either "present" or "absent." I believe it is also best especially when using the many eponyms, to either describe what you are doing to the patient or having them do during the test or to describe the significance of the test when positive or both. The rational is that the claims examiner or nurse consultants usually don't learn all these names in their training and at least by doing this they will know anatomically where the heck you are and some sense of what the heck you are doing.

Vern Saboe

WNL and Ortho testing

Hello All,Maybe a DABCO could answer this or anyone else that wants a stab at it.Doing orthopedic testing, if I remember correctly, is not reported as "within normal limits" (WNL) since what the heck does that mean anyway? I thought they were reported as + for pain or - for pain and report the pain type and location. Would that not be more descriptive then WNL?Anyone care to help me with this.......Garreth MacEugene OR

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I agree with Vern. I even say " crossed-leg " testing instead of

Fabre test, etc., or use simple terms to describe the test rather than a

medical moniker so the lay person who may be reading the report will

know what you did. I forget which older orthopod here in town did that

as well, but it was cool to see a medical doc who was down-to-earth and

didn't need to impress anyone with the use of big terms.

Lyndon McGill, D.C.

Salem, Oregon

Vern Saboe wrote:

>

> Correct....for the most part.....tests are generally " positive " or

> " negative " signs are either " present " or " absent. " I believe it is

> also best especially when using the many eponyms, to either describe

> what you are doing to the patient or having them do during the test or

> to describe the significance of the test when positive or both. The

> rational is that the claims examiner or nurse consultants usually

> don't learn all these names in their training and at least by doing

> this they will know anatomically where the heck you are and some sense

> of what the heck you are doing.

>

> Vern Saboe

>

>

> * WNL and Ortho testing

>

> Hello All,

>

> Maybe a DABCO could answer this or anyone else that wants a stab

> at it.

>

> Doing orthopedic testing, if I remember correctly, is not reported

> as " within normal limits " (WNL) since what the heck does that mean

> anyway? I thought they were reported as + for pain or - for pain

> and report the pain type and location. Would that not be more

> descriptive then WNL?

>

> Anyone care to help me with this.......

>

> Garreth Mac

> Eugene OR

>

>

>

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I use WNL in regards to nerve root testing of muscles and dermatomes. Ortho, DTR's etc. should be given a value.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta St. PDX, OR 97211www.spinetreepdx.com

WNL and Ortho testing

Hello All,Maybe a DABCO could answer this or anyone else that wants a stab at it.Doing orthopedic testing, if I remember correctly, is not reported as "within normal limits" (WNL) since what the heck does that mean anyway? I thought they were reported as + for pain or - for pain and report the pain type and location. Would that not be more descriptive then WNL?Anyone care to help me with this.......Garreth MacEugene OR

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