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
Prone Knee Extension Test – Saphenous Nerve Bias Purpose of Prone Knee Extension Test – Saphenous Nerve Bias: To determine if the tension along the saphenous nerve contributes to the neurologic symptoms associated with radiculopathy (1, 2). Patient position: Prone lying (3) and side-lying (4). Examiner position: Standing beside the patient, at the side of the limb to be tested. Procedure: Perform the limb/joint positioning … Continue reading Prone Knee Extension Test
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
Introduction: Low back pain (LBP) is a complex illness that includes physiological, psychological, and brain alterations (Nijs J. et al. 2017). LBP is a complex condition that includes physiological, psychological, and neurological alterations (Nijs J. et al. 2017). Many researchers in the field of LBP, including physicians, believe that choosing the most effective treatment for the individual patient is impossible without a deeper understanding of … Continue reading Discogenic back pain: part 1
Primary care physicians frequently see patients with low back pain (LBP). To minimise excessive lumbar flexion, societal attempts to reduce LBP have resulted in more upright work settings. Mechanical Diagnosis and Therapy has proven to be reliable among well-trained MDT doctors (Deutscher D, et al. 2014; Kilpikoski S, et al. 2002) and can decrease patient visits while increasing clinical and functional results (Deutscher D, et … Continue reading Flexion responders: when should you introduce flexion loading to your patients?
