Lumbar exam in patients with Chronic Pain

Low back pain exam in chronic pain Julio A. Martinez-Silvestrini, MD Outpatient Medical Director Baystate Physical Medicine and Rehabilitation Assistant Clinical Professor Tufts University School of Medicine

Objectives ,[object Object],[object Object],[object Object],[object Object]

Low Back Pain ,[object Object],[object Object]

Low Back Pain ,[object Object],[object Object],[object Object],[object Object]

Case ,[object Object],[object Object],[object Object],[object Object],[object Object]

Case ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History: “ Red Flags ” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chou R. Ann Int Med, Feb 2011.

Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Inspection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Palpation ,[object Object],[object Object],[object Object],[object Object]

Palpation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Range of Motion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neurologic exam ,[object Object],[object Object],[object Object],[object Object]

Provocative maneuvers ,[object Object],[object Object],[object Object],[object Object]

Slump Test ,[object Object],[object Object],[object Object],[object Object]

Waddell ’ s signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mechanical low back pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mechanical LBP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Radicular pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sacroiliac joint pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sacroiliac joint pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sacroillitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Piriformis syndrome ,[object Object],[object Object],[object Object],[object Object]

Greater trochanteric bursitis ,[object Object],[object Object],[object Object],[object Object]

Hip Osteoarthritis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Workshop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contact information ,[object Object],[object Object]

Lumbar exam in patients with Chronic Pain

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Lumbar exam in patients with Chronic Pain