bjective assessment
nocturnal pain/ drop attacks/
speaking/ swallowing problem
cancer/ inflammatory arthritis
Please seek medical help if any of the above apply or else confirm that you have checked that none do.
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| Has there been a recent accident, fall or trauma? | |
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| Has there been a sudden onset of low back pain following an action of lifting or twisting | |
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| Bending forwards, is it painful? | |
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| Bending backwards, is it painful? | |
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| Bending to the right and left, is it painful? | |
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| Is the patient standing with a lateral pelvic shift? | |
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| Palpate Lumbar segments, is it painful? | |
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| Sitting slouched, straighten patient’s leg, lift toes, and bend head forward. Is it painful or is altered sensation felt? (slump test) | |
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| When therapist lifts painful leg straight up into the air, is it painful or is altered sensation felt? Patient may lift head to test further. | |
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| Test reflexes, myotomes and dermatomes. Are some positive? (refer to library for tests) | |
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| Palpate Lx segments, is it painful and is stiffness felt? | |
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| Is patient over 50yrs old? | |
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| When walking up hill or bent forward, is it less painful? | |
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| Is increased muscle tension evident in muscles along the back? | |
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| Feel the muscle bellies along the lower spine and above the pelvis is it painful to touch? | |
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| Is the lumbar segment painful to tap locally? | |
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| Pick up skin, and roll it between fingers. Does it feel painful and tight? | |
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| Has the patient had an x-ray? | |
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| Did the x-ray indicate a fracture? | |
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| Is the fracture unstable? | |
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1: Has there been a recent accident, fall or trauma?
2
16
2: Has there been a sudden onset of low back pain following an action of lifting or twisting?
11
3
3: Bending forwards, is it painful?
4
6
4: Bending backwards, is it painful?
5
11
5: Bending to the right and left, is it painful?
11
14
6: Is the patient standing with a lateral pelvic shift?
14
7
7: Palpate Lumbar segments, is it painful?
17
8
8: Sitting slouched, straighten patient’s leg, lift toes, and bend head forward. Is it painful or is altered sensation felt? (Slump Test)
14
9
9: When therapist lifts painful leg straight up into the air, is it painful or is altered sensation felt? Patient may lift head to test further.
14
10
10: Test reflexes, myotomes and dermatomes. Are some positive? (refer to library for tests)
14
Disc pain
11: Palpate Lx segments, is it painful and is stiffness felt?
15
12
12: Is patient over 50yrs old?
Facet joint pain
13
13: When walking up hill or bent forward, is it less painful?
Lumbar stenosis
Osteoarthritis
14: Is increased muscle tension evident in muscles along the back?
17
15
15: Feel the muscle bellies along the lower spine and above the pelvis is it painful to touch?
17
Muscle spasm
16: Is the lumbar segment painful to tap locally?
3
Fracture
17: Pick up skin, and roll it between fingers. Does it feel painful and tight?
End
Myofascial tightness
Disc pain