How to perform a Low Back & Hip Exam (DDx Lumbar v Pelvis v Hip)
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- Опубліковано 20 сер 2024
- This concise instructional video by Dr. Timothy Conwell demonstrates how to perform a low back and hip exam. This orthopedic exam includes evaluating the low back (lumbar spine), pelvis (sacroiliac joints), and hip (acetabular joints). In addition, the video discusses how to differentiate (DDx - differential diagnosis) between radiculopathy, discopathy, facet syndrome, myofascial pain syndrome, SIJ dysfunction, and hip pain. The video demonstrated orthopedic tests to evaluate for facet syndrome, myofascial pain syndrome, radiculopathy, sciatica, disopathy (herniated disc), sacroiliac joint dysfunction (SI Joint), and hip dysplasia.
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Check out Dr. Conwell's textbook, THE CLINICAL PICTURE, which compliments and adds to the knowledge gleaned from this video program:
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Textbook description - www.theclinica...
Dr. Conwell’s Website - www.theclinica...
THE CLINICAL PICTURE is a 350-page textbook that covers the essentials of a comprehensive neuromusculoskeletal examination (medical history & physical examination) and the required documentation (daily office chart note & narrative report). This text is a valuable complementary addition to this teaching video.
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute the provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health-related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.
Scroll down to learn more about Dr. Conwell’s full 60-minute instructional video programs…..
Video Program I - CENTRAL NERVOUS SYSTEM SCREENING EXAM
This full hour-long instructional video demonstrates how to perform a neurological examination to evaluate for a CNS lesion which includes screening for mental status, cognition, cerebral cortex, cerebellar function tests (gait, coordination, equilibrium), cranial nerves (CN) & spinal cord tracts. This video also demonstrates the 75 seconds in-office cranial nerve exam.
Video Program II - PERIPHERAL NERVOUS SYSTEM SCREENING EXAM
This full hour-long instructional video demonstrates how to screen for a PNS lesion. The video covers in detail how to evaluate deep tendon reflexes (DTR’s), perform an upper and lower extremity sensory exam (dermatomes), perform an upper and lower extremity motor exam (Kendall & Kendall muscle grading scale), evaluate the brachial and lumbosacral plexus, and how to perform a “three-minute” PNS exam.
Video Program III - SPINE & PARASPINAL MUSCULOSKELETAL SCREENING EXAM
This full hour-long instructional video demonstrates how to screen for a musculoskeletal lesion of the axial skeleton. The video covers in detail how to perform the visual inspection exam, palpation of the Cervical and Lumbar spine and associated paraspinal tissues, Range of Motion of the Cervical and Lumbar spine (active, passive, resistive maneuvers to DDx sprain v. strain), orthopedic testing (provocative maneuvers), peripheral vascular exam, and evaluating for non-organic physical signs.
Great review. Thanks!
+Allen Bonilla I am pleased you enjoyed the free download of Program III - Spine & Paraspinal Exam. Keep an eye open for a notice of a deep discount offer for Programs I & II which will include Bonus PDF materials in the near future. Thank you for your interest in my educational materials. Dr. Conwell
most indian neurologists don't perform these tests .simply order mri at the drop of hat.
Hello James, your observation brings to mind the term "Medical Necessity." A diagnostic test is medically necessary when required to answer a specific clinical question that can not be answered by other clinical indicators or diagnostic tests. I believe most LBP cases without signs or symptoms of neurologic insult can be adequately diagnosed without the utilization of MRI. My opinion based on over 35 years in practice.
Having offered my opinion, each physician has their own way of practicing and utilizes the tools which are best suited to their type of practice and clinical expertise. Thank you for your comment. DrC
Then there is an MRI that cause the patient no pain for your interpretation!
Hi Pelle, I am not sure what you are asking so I am unable to respond. Thank you for watching my instructional videos. DrC