SOAP Notes in MSD and orthopedic injury.

Musculoskeletal disorders (MSD) are injuries or disorders of the muscles, nerves, tendons, joints, cartilage, and spinal discs.

Affect

Upper Limb Disorders

arms, from fingers to shoulders and necks.

Back pain

ache, pain and tension

Lower Limb Disorders

legs and feets, from hips to toes.

SOAP

S = subjective

History of injury

Athlete’s impression

Site of injury

Mechanism of injury

Previous injury

Behavior of Symptoms

Provocation of symptoms

Quality of symptoms

Region of symptoms

Region of symptoms

Timing of symptoms

Example

site of pain

knee joint

mechanism of injury

direct blow to knee

causing knee to be forced into excessive valgus and rotation

behavior of symptoms

pain describe as deep or nagging

pain increase with weight bearing

clicking and locking sensation of knee joint

O = objective

What to check

Postural Alignment

Should be done in weight bearing position and viewed from difference angles.

Signs of trauma

Gross deformity, swelling, bleeding, signs of infection, atrophy, skin color and texture.

A = assessment

P = planning

Causes

Biomechanical

Biomechanical loads, force applied onto the body

Individual differences

Gender, obesity and overweight individuals

Psychosocial

High job demands, low social support, and overall job strain

Activities

Repeated biomechanical loads