The pain drawing and Measurement of pain intensity

The pain drawing On a standardised and styled graphic representation, a self-reported multi-coloured graphic representation of the location and distribution of pain and other symptoms Six different colours signify six different sorts of symptoms, as shown below: Yellow = aching Blue = burning Green = pins & needles Black = numbness Red = stabbing pain The use of colours rather than symbols had not been … Continue reading The pain drawing and Measurement of pain intensity

Spurling’s test

Spurling’s Test: The purpose is to identify the presence of cervical radiculopathy among patients with upper quadrant pain. (1, 2). Patient Position: Sitting upright. Examiner Position: Standing beside or behind the patient. Procedure: Move the patient’s head into lateral flexion/rotation to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Bradley et al. suggestions: Compress the head in neutral position. … Continue reading Spurling’s test

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

Terminology and identification of spine-related leg pain patients

There is no agreement on a definition or diagnostic criteria for “sciatica.” The term “sciatica” has been used to describe a variety of nerve-related disorders originating in the spine, including radicular discomfort and painful radiculopathy (Foster NE, et al., 2020; Lin CW, et al., 2014). Despite the linguistic connotation of neural involvement, the term “sciatica” has been used to refer to somatic-referred pain in some … Continue reading Terminology and identification of spine-related leg pain patients

What are movement system impairment syndromes? A detailed explanation.

For more than 15 years, researchers have focused on classifying patients with low back and neck pain (Ford JJ, Hahne AJ. 2013; Foster NE, et al. 2011; McKenzie R. 1981; O’Sullivan P. 2005; Van Dillen L, et al. 2003; Weiner B. 2008b; Delitto A, et al. 1995; Fritz J, et al. 2007; Kamper SJ, et al. 2010). However, as physical therapists, we do not have … Continue reading What are movement system impairment syndromes? A detailed explanation.