Category: Diagnostic Skills

Cervical, Diagnostic Skills, Home, Neck Pain, Neurologic, Research Summaries, Thoracic, Upper Back Pain

Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

Brown-Sequard Syndrome, as delineated in 1849 by Brown-Se´quard CE, emanates from trauma inflicted upon the anatomical hemicord. This trauma precipitates disruption of the descending lateral corticospinal tracts, the ascending dorsal columns (both of which decussate in the medulla), and the ascending lateral spinothalamic tracts, which intersect within one or two levels of the dorsal root entry. While total hemisection, evoking the hallmark clinical features of … Continue reading Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

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Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Research Summaries

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

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Diagnostic Accuracy, Diagnostic Agreement, Diagnostic Efficiency, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Neurologic, Research Summaries

Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

In Western industrialised countries, low-back pain (LBP) is a common cause of disability. Although many people have at least one episode of low-back pain throughout their lives, no identifiable disease is found in up to 85% of patients (Deyo et al. 1992). Low back-related leg pain, which accounts for 23% to 57% of all LBP cases (Scharfer A, et al. 2007). In patients who report … Continue reading Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

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Back, Diagnostic Accuracy, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Research Summaries

Lumbar Facetogenic pain

If your patients are having low back pain, it might be due to a number of factors, including lumbar facetogenic back pain. Facetogenic pain refers to discomfort that originates in the spine’s zygapophyseal joints. Prevalence: The prevalence of zygapophyseal joint pain has been estimated to be 15% of 76 (Schwarzer et al., 1994b) and 40% of 63 (Schwarzer et al., 1995b) chronic back pain patients. … Continue reading Lumbar Facetogenic pain

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Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Research Summaries

Discogenic back pain: part 2

Some discogenic pains cannot be cured. The following low back pain subgroups have been proposed: Mechanically reducible discogenic back pain is defined as pain that responds to mechanical loading methods. However, patients who are insensitive to mechanical loading procedures are referred to as having nonreducible discogenic back pain. Non-reducible discogenic pain (NRDP) is classified as follows: some ruptured outer annulus wall with or without radiculopathy. … Continue reading Discogenic back pain: part 2

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