How to Pinpoint Hip Joint Pain: Unlocking the Secrets of Diagnosis

Hip pain can have multiple causes, including non musculoskeletal, lumbosacral spine, intra-articular, and extra-articular. A consensus declaration has defined an evaluation algorithm for distinguishing the musculoskeletal causes of regional hip pain (Takla A et al. 2020). Lumbosacral and extra-articular diseases frequently coexist with intra-articular hip causes of pain (Takla A et al. 2020). As a result, a grasp of the complicated connections of the spine, … Continue reading How to Pinpoint Hip Joint Pain: Unlocking the Secrets of Diagnosis

Neurodynamic Assessment

A neurodynamic test checks the length, mobility and mechanical sensitivity of the neurological tissues (1). For a neurodynamic test to be positive, the limb/joint positioning sequence should reproduce the patient’s symptoms associated with radiculopathy along with/without a measurable asymmetry between left and right sides. A positive neurodynamic test indicates multiple pathogeneses, which may include increased tension in the dura mater and the nerves, compression on … Continue reading Neurodynamic Assessment

Soto-Hall Test

Purpose of Soto-Hall Test: To determine if there is a fracture or a lesion of the lower cervical and/or thoracic vertebral joints (1) or to apply traction on the spinal cord and find if there is mass such as a tumour (2). Patient position: Supine lying. Examiner position: Beside the patient, Standing at the patient’s head side. Procedure: Perform the limb/joint positioning sequence in the … Continue reading Soto-Hall Test

Bilateral Straight Leg Raise Test

Purpose of Bilateral Straight Leg Raise Test: To test if the tension along the sciatic nerve, tibial nerve, L4,5,S1 nerve roots (1), conus medullaris (2), and the adjacent dura to the spinal cord (3) contribute to the neurologic symptoms associated with radiculopathy (4-6). Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient. Procedure: Perform the limb/joint positioning sequence in the … Continue reading Bilateral Straight Leg Raise Test

Straight Leg Raise Test 6

Straight Leg Raise Test 6 – Modified for patients who cannot lie supine Purpose of Straight Leg Raise Test 6: To test if the tension along the sciatic nerve, tibial nerve, L4,5,S1 nerve roots (1), conus medullaris (2), and the adjacent dura to the spinal cord (3) contribute to the neurologic symptoms associated with radiculopathy (4). Patient position: Side-lying with a pillow in-between two legs, … Continue reading Straight Leg Raise Test 6