Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

In Western industrialised countries, low-back pain (LBP) is a common cause of disability. Although many people have at least one episode of low-back pain throughout their lives, no identifiable disease is found in up to 85% of patients (Deyo et al. 1992). Low back-related leg pain, which accounts for 23% to 57% of all LBP cases (Scharfer A, et al. 2007). In patients who report … Continue reading Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

The Painful Sacroiliac Joint

A classification method based on symptom behaviour sub-grouping improves treatment outcomes, according to recent research (Fritz and George, 2000; Long et al., 2004). The association between the sacroiliac joint (SIJ) and low back pain has been a source of contention, with some researchers seeing SIJ pain as a key contribution to the problem and others dismissing it as inconsequential or irrelevant. The clinical reasoning technique … Continue reading The Painful Sacroiliac Joint