Category: Sacral

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, Clinical Tests, Lower Back Pain, Lumbar, Sacral

Milgram’s Test

Purpose of Milgram’s Test: To determine if there is a pathology in the intra/extra thecal area of the spine. The intrathecal pathology may include a spinal tumour and extrathecal pathology may include a herniated disc or a space-occupying lesion. Patient position: Lying supine. Examiner position: Standing beside the bed. Procedure: Ask the patient to raise both legs up to 4 – 6 inches off the bed (20 degrees) and hold them … Continue reading Milgram’s Test

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