Category: Back

Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

Introduction Referral in physical therapy is not limited to high-risk cases such as cancer, infection, and others. While physical therapy is often effective in managing various musculoskeletal conditions, there are instances where patients do not respond as expected to treatment. In such cases, referral becomes necessary to explore underlying issues and consider alternative interventions. This article presents two cases where patients failed to respond to … Continue reading Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

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Cervical, Evidence Based Practice, Home, Manual Therapeutics, Neck Pain

Unveiling Rarity: Horner Syndrome Caused by Cervical Disc Herniation

Johann Friedrich Horner originally described the Horner syndrome (HS) in humans in 1869 (van der Wiel HL. 2002). HS is caused by a disruption in the oculosympathetic circuit between the hypothalamus and the orbit (Amonoo-Kuofi HS, 1999). The characteristic trio of ipsilateral eyelid ptosis, miosis, and face anhidrosis is what distinguishes HS. There are numerous causes of HS, but herniated cervical disc (HCD) is a … Continue reading Unveiling Rarity: Horner Syndrome Caused by Cervical Disc Herniation

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Cervical, Diagnostic Skills, Evidence Based Practice, Home, Manual Therapeutics, Neck Pain, Neurologic, Thoracic, Upper Back Pain

Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

Brown-Sequard Syndrome, as delineated in 1849 by Brown-Se´quard CE, emanates from trauma inflicted upon the anatomical hemicord. This trauma precipitates disruption of the descending lateral corticospinal tracts, the ascending dorsal columns (both of which decussate in the medulla), and the ascending lateral spinothalamic tracts, which intersect within one or two levels of the dorsal root entry. While total hemisection, evoking the hallmark clinical features of … Continue reading Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

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Back, Diagnostic Accuracy, Diagnostic Efficiency, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics, Pelvis, Sacral

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

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Back, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics

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.

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