Music. Hi everybody, I'm Dr. Joseph Cipriano and today we're here at the AC Marriott in downtown Spartanburg. Today we have our patient here who has informed me that she has been experiencing ankle and knee issues, as well as throwing her back out from doing some exercises last week. Primarily her issues are located in the lower body, including the hips, knees, and low back. She has had knee issues since birth due to a twisted tibia and has been wearing special shoes for it. Her low back issues have been present for three years. To begin, I will be checking the alignment of her body. She will lay face down for this. Through palpation, I will be feeling the alignment of her spine and muscles, checking for symmetry and muscle tone. We will be looking for proper curves in the back, including the shoulders, head tilt, and the curves in the neck. Although her main issues are in the lower body, we will also be checking the neck. During palpation, I am feeling tenderness on both sides of the neck, particularly the left occiput and lower right side. The rest of the neck feels fine. Moving on to the thoracic spine, I am feeling for symmetry in the clusters on either side and checking for muscle adhesions. I notice that the right side of the thoracic spine is raised up more than the left, indicating an area that needs further examination. Next, we will move to the lumbar spine and sacroiliac joints. I am checking for any pain or tenderness when pushing on different sides. There is tenderness on the left side. To further assess the patient, I will also check leg length. I notice that her right foot is shorter and the ankle curves in, indicating issues that...
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