Professional Documents
Culture Documents
Case Discussion
Case Discussion
Deep Back
Case: A 55 year old male came with a chief complaint
of dull aching pain at the low back associated with
radiating pain towards the lateral aspect of the left leg
and foot. MRI of the lumbosacral region revealed a
Herniated Nucleus Pulposus on the level of L5-S1. The
patient works as a laborer and states that symptoms
are being experienced for three months already and
medications do not offer relief of symptoms. PT also
noted that pain increases with trunk flexion , heavy
lifting , twisting, prolonged standing and sitting but is
relieved by extension maneuvers.
Questions
Questions
4. Additional points:
Anatomy
Anatomy
Anatomy
LUMBAR EXTENSION:
MODIFIED SCHOBER
TEST
Procedure:
1. Use a skin-marking pencil to place a rst
mark at the lumbosacral junction. Place a
second mark 10 cm above the rst mark. Place
a third mark 5 cm below the rst mark
(lumbosacral junction).
2. Align the tape measure between the most
superior and the most inferior marks.
Slump test 1
Straight leg raise Basic (Sciatic nerve )
Straight leg raise 3 (Sural nerve)
-foot inverted w/o hip adduction