In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Introduction Low back pain is not a disease, it is a symptom. It can be defined as pain between the bottom ribs and the buttock creases(Dionne et al., 2008). Chronic low back pain patients are always asking about the cause of their pain(McPhillips-Tangum et al., 1998; Cherkin et al., 1998). A lot of people can experience it during their life. For instance, 6.3%–14.4% of people … Continue reading In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Reverse Impingement Test

Reverse Impingement Test or Impingement Relief Test Purpose of Reverse Impingement Test or Impingement Relief Test: To confirm the diagnosis of ‘impingement syndrome’ by reversing/relieving the painful arc and/or eliminating the ‘impingement sign’ after initially reproducing the patient’s shoulder pain with shoulder impingement tests such as Neer’s test (1-3). Patient position: Sitting upright with affected arm relaxed by the side. Examiner position: Standing beside/behind the … Continue reading Reverse Impingement Test

Residual leg numbness after lumber decompression surgeries: A summary of research evidence.

Introduction: Lumbar disc herniation (LDH) is the most frequent lumbar degenerative illness that causes patients to have redundant pain (Ravindra et al., 2018). Lower back pain (LBP) and sciatica symptoms, such as leg pain (LP) and leg numbness (LN), are common in patients with LDH (Deyo et al., 2016). In addition, LN is a major factor influencing clinical outcomes and patient satisfaction following decompression surgery … Continue reading Residual leg numbness after lumber decompression surgeries: A summary of research evidence.

Neer Impingement Test

Purpose of Neer Impingement Test: To determine if there is an impingement in the shoulder joint (1, 2). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside/behind the patient’s affected side. Procedure: With one hand, depress and stabilize the scapula. With the other hand, rotate the patient’s arm internally and then perform a forward flexion passively in the … Continue reading Neer Impingement Test

Hawkins-Kennedy Impingement Test

Purpose of  Hawkins-Kennedy Impingement Test: To determine if there is an impingement in the shoulder joint (1). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Elevate the affected arm to 90 degrees in forward flexion. Have the patient’s affected arm rest on your arm i.e., have the patient’s affected arm well supported … Continue reading Hawkins-Kennedy Impingement Test