Examination Plan Conditions and Pillar Distribution
In accordance with accepted accreditation regulations, the IANM provides the domain distribution assignments and the list of common conditions on which test items are based. This has been determined by standardized independent subject matter expert committee process and follows accepted statistical analysis.
Pillar Domain %
I History 23
II Physical Exam 20
III Differential Diagnosis 7
IV Treatment Plan and Implementation 21
V Outcome Assessments 6
VI Medicolegal Dcoumentation 17
VII Evidence Base and Patient Centered 6
Master Condition List For IANM Testing
Conditions Most Frequently Seen by Chiropractic Neuromusculoskeletal Specialists
This is not an exhaustive list but shows current trends. Most test items may be connected to this list in union with the current Pillars of Practice document. The board certified specialist in neuromusculoskeletal medicine is expected to be expert in all conditions involving or related to the neruomusculoskeletal systems. Some internal or systemic disorders are listed as they connect directly as potential red flags that may mimic or produce neuromusculoskeletal symptoms. Knowledge of and wisdom regarding co-management of some conditions is expected. This list is intended to provide study guide directions. It is not provided in order of relevance, prevalence or incidence but merely as reference.
- Low back pain
- Lumbar sprain
- Lumbar facet joint syndrome
- Neck pain
- Whiplash-associated disorder (WAD)
- mTBI
- Lumbar radiculopathy/sciatica
- Knee osteoarthritis
- Primary metastatic malignancy
- Shoulder disorders (especially rotator cuff disease)
- Cervical radiculopathy
- Sacroiliac joint dysfunction
- Peripheral sensitization and Central sensitization
- Hip osteoarthritis
- Myofascial pain syndrome
- Carpal tunnel syndrome
- Infection
- Lumbar disc disorders
- Rheumatoid Arthritis
- Gout
- Lateral epicondylalgia
- Adhesive Capsulitis
- Abdominal aortic aneurysm
- Wrist and Hand osteoarthritis/tendionopathy
- Ankle and foot osteoarthritis/tendinopathy
- Plantar fasciaopathies
- Peripheral neuropathies
- Peripheral artery disease
- Thoracic outlet syndrome
- Meralgia paresthetica
- Ankylosiing spondylitis
- Endocrine disorders
- Polymylagia Rheumatica
- Spinal Stenosis
- Spondylolisthesis
- Thoracic Spine Pain
- Post Polio Syndrome
- Myotonic Dystrophy
- Neurologic disease
- Ulnar Nerve Entrapment
- Charot-Marie-Tooth Disease Type 2
- Myositis
- Tendinopathies (Achilles, patellar)
- Bursitis (trochanteric, subacrommial, olecranon)
- Osteochondrosis/Scheuermann’s disease
- Piriformis Syndrome
- Lumbar compression fracture
- Cervical facet syndrome
- Cervicogenic Headache
- Shoulder Impingement Syndrome
- Glenohumeral Osteoarthritis
- Shoulder Instability
- Medial Epicondylitis
- De Quervain Tenosynovitis
- Wrist Sprain
- Trigger Finger (Stenosing Tenosynovitis)
- Femoroacetablular Impingement Syndrome
- Hip Labral Tear
- Avascular Necrosis of the femoral neck
- Patellofemoral Pain syndromes/ teniopathy
- Meniscal injury
- Anterior Cruciate Ligament
- Lateral ankle sprain
- Achilles Tendinopathy
- Chronic ankle instability
- Syndesmotic ankle sprain (“high ankle sprain”)
- Ankle Impingement syndromes
- Pes anserine bursitis/tendinopathy
- Iliotibial band syndrome
- Baker’s cyst (popliteal cyst)
- Dupuytren contracture
- Radial nerve sensory neuropathy (Wartenberg syndrome)
- Ganglion cyst
- Ulnar neuropathy at Guyon’s canal
- Acromioclavicular (AC) joint sprain/arthropathy
- Thoracic Sprain
- Thoracic Facet Joint Syndrome (Zygapophyseal Joint–Mediated Pain)
- Thoracic Disc Herniation / Discogenic Thoracic Pain
- Costovertebral / Costotransverse Joint Dysfunction (Rib Joint Syndrome)
- Scoliosis-related pain syndromes
- Intercostal neuralgia
- Scapulothoracic bursitis (“snapping scapula”)
- Rib fractures or stress injuries