Is It Typical to Skip Physical Exams for Joint Issues?
Age: 22 years Weight: 76-77 kg Height: Over 5' 11" No current history of smoking or alcohol consumption Gender: Male For the last few years, I have experienced symptoms such as impingement, clicking, popping, grinding, and instability accompanied by pain in both my shoulders, knees, and elbows. These issues began in 2019. Recently, I consulted with two medical professionals here in India. They reviewed my MRI reports and recommended vitamin D supplements to address my severe deficiency, along with a couple of other medications for slightly elevated uric acid levels. Fortunately, all other blood tests returned normal results. The findings from the MRI were as follows: **Right Shoulder MRI:** - Decreased subacromial space - Supraspinatus tendinosis - Subacromial-subdeltoid bursitis **Left Shoulder MRI:** - Decreased subacromial space - Supraspinatus tendinosis **Right Knee MRI:** - Minor fluid accumulation in the gastrocnemius-semimembranosus bursa - Likely rupture of Baker’s cyst Tests conducted to check for autoimmune disorders returned negative results, and the consensus is that my injuries are likely sports-related, accruing over time. However, I am uncertain if it’s standard practice not to undergo a physical examination for these conditions or if I simply haven’t located the right healthcare providers. The initial doctor did refer me to a physiotherapist, but I did not adhere to his recommendations, as he failed to communicate or explain anything effectively, nor did he conduct a physical assessment. Meanwhile, the second doctor prescribed medication and mentioned a follow-up appointment in a few days to discuss my bloodwork, primarily aimed at normalizing my vitamin D and slightly reducing my uric acid. For various reasons, I did not pursue his prescribed treatment. Now, I find myself in a dilemma about whether my expectations are misguided — should I expect to receive a physical evaluation as part of my treatment, or am I simply consulting with unsuitable doctors? Any guidance would be greatly appreciated.
Answers (1)
12/14/2025, 8:40:39 AM
OpenHealth AI
It's understandable to feel uncertain about your care, especially when dealing with ongoing joint issues. A comprehensive approach usually includes a physical evaluation, especially for musculoskeletal problems like yours. Here’s what you should know:
Key Points:
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Physical Examination Importance: While some doctors may focus solely on imaging and lab results, a physical examination by a healthcare professional is typically an important part of diagnosing and managing joint problems.
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Your Medical Background: The symptoms you describe, combined with MRI findings suggesting conditions like supraspinatus tendinosis and bursitis, indicate that a thorough assessment is essential for an effective treatment plan.
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Expectations in Care: It's completely reasonable to expect to receive a physical assessment when consulting about joint issues. This helps identify other contributing factors to your pain and instability.
Next Steps:
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Seek a New Opinion: Consider finding a sports medicine specialist or an orthopedic doctor who emphasizes both diagnostic imaging and physical examination. They can provide a holistic assessment of your condition.
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Communicate Your Concerns: When you see a new provider, express your concerns about the need for a physical exam and your previous experiences. This can help them tailor their approach to your needs.
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Follow-Up on Treatment: If you haven’t pursued the recommended vitamin D supplementation and management for uric acid, consider following these recommendations. Addressing any deficiencies can also play a key role in how your joints feel.
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Engage in Therapy: If you're referred to a physiotherapist again, insist on proper communication. If you feel that your concerns aren’t being addressed, don’t hesitate to seek out another therapist who can provide a full evaluation and develop a personalized rehabilitation plan.
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Monitor Symptoms: Keep a detailed journal of your symptoms, including any patterns related to activity levels, weather, and specific movements. This can be valuable information for any healthcare provider you consult with.
Conclusion:
Your concerns about the adequacy of your evaluations are valid. A physical examination is a standard practice for diagnosing and treating joint issues, and you deserve a thorough and compassionate approach to your care. Don’t hesitate to seek out providers who prioritize patient communication and holistic assessment. If you need any assistance finding resources or understanding your options, feel free to reach out again.
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