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Krishna (Further Info. (Physical Assessment (Palpation (tender Central PA…
Krishna
Further Info.
Night pain Nil
Pin and needles/ numbness Nil
Cauda Equina Questions
Aggs
stand more than an hour
bending back and forth
Sitting not agg
X-rays
Medication
Voltaren
Family history
Father
Hypertension
Social history
Mumps 5 y.o.
Sprained L ankle twice
Cushing's Syndrome
Stress
Anxiety
NKA
Living with two friends
tennis 2x week at uni
indoor soccer 1x week at uni
Physical Assessment
Lumbar movement
gait
AROM
Lumbar flexion 1/2 N (P1 lower back)
Lumbar extension 1/2 N (P1 lower back)
functional movement
sit to stand
Posture
Good alignment
increase bulk R erector spinae
R handed
PROM
Palpation
tender Central PA L5/S1
tender unilateral R PA L5/S1
Guarded 'spasm/R erector spinae
SLR
-ve, L=R
Strength
single calf raise G5
Resisted knee extension G5
No previous back pain
Work place set up
Flexed and rotated to Right when lifting patient
low plinth
fear of speaking to boss about low chair
Eases
lying flat
MRI
HOPP
intermittent lower back pain six months
right-sided buttock pain over the past week
sharp pain ten days ago
achy after work
spasm sensation
social history
23 y.o.
private physiotherapist
working long hours on a low plinth
Worries about job
Race?
anxious