How to test the Femoral Nerve (Lumbar Plexus L2,3,4) or reverse Lasegue's
Вставка
- Опубліковано 21 вер 2024
- www.johngibbons...
John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and is demonstrating how to perform the Femoral nerve test or reverse Lasegue test and this nerve originates from L2, 3, 4 from the Lumbar plexus. John shows you in his other neurological videos to assess the nerve root level of the adductors (obturator nerve through L3 reflex), patella tendon (femoral nerve through L4 reflex), semitendinosus (tibial / sciatic nerve of L5 reflex) and Achilles / plantar (tibial nerve of sciatic through S1 reflex) and a normal response is classified as 2++. Any reduced hypo-reflex (1+) or increased hyper-reflex (3+++) with Clonus and Babinski positive as might indicate some form of upper motor neurone lesion like Multiple sclerosis, stroke, spinal cord tumour or brain injury. Any altered reflex will need further investigation as a possibility of disc or neural pathology. These techniques and more is taught on the Neurological Master-Class at the University of Oxford.
In terms of his courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name.
John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include:
1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD.
2. The Vital Glutes, connecting the gait cycle to pain and dysfunction
3. Functional Anatomy of the Pelvis, SI joint & lumbar spine
4. The Vital Shoulder Complex
5. 2nd Edition of Kinesiology Taping (released early 2020)
6. The Vital Nerves (released early 2020)
All his books are available to buy now through his website www.johngibbons...... or from Amazon www.amazon.co.uk
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idyllic venue of Oxford University, home of the first four-minute mile by Roger Bannister.
Courses available and all the dates are online www.johngibbon...:
1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling
I tried this stretch with hip extension and glute contraction at top and had some great chiropractic manipulation type noises on both sides of lower back and now my pain in the front of leg/hip flexors is massively reduced!
Thanks for the comments, regards JG
Again the optimal standard of approaches John ,keep it up. But ,one simple question,how can we differentiate between the stretch ,discomfort or usually felt after performing those aforementioned tests ,and neural compromise??
Thanks for the message and a 'stretch' of the muscle will feel different to a 'neural stretch' as typically more sharp and stabbing in nature, regards JG
Question..ocurres pain on both calcaneus right left..from where comes the damage?
L1. L2. L3. L4. L5. or
S1. S2. S3. S4. S5. ?
And what exercises should the patient do?
YOU ARE THE ONLY DOCTOR I HAVE TOTAL CONFIDENCE
THANKS
It could be a nerve root problem - S1 typically if on the outside, even though L5 is close. Also the cutaneous component of the peroneal nerve - strange to have it both sides though so look at other issues first as no exercise will help unless you find the cause. regards jG
@@JohnGibbons yes..i am doing flossing nerve stretch. ..that help 30% _ 60% thanks againg john
Love the model 😊
Thank you! Cheers!
Great test
Thanks for the comments and pleased you like the video. Regards JG
Nice. What causes the L2, L3, L4 to get bothered?? What postural bad habits are we doing to trigger this?
Thanks - the femoral nerve is not generally irritated as normally the sciatic nerve form the lower lumbar spine, regards JG
Hi john, I think this is definitely what I have after watching your video as I also have back pain in the lower left area with nerve pain & some numbness on front of my left thigh with pain on front & both sides . I spoke to an acupuncturist over the phone who mentioned the rectus femoris when I gave her my symptoms. This is week 3 in bad pain with this & because of coronavirus I can't get treatment or help. I've just been told to take paracetamol, ibuprofen & amitriptyline at night but nothing is helping. Can you recommend any exercise or can I tape the muscle to get some relief? Thanks in advance, seaneen.
Tricky one to discuss without looking at you - quite rare to get the pain in both legs though as disc pathology tends to affect one side mainly. The rectus femoris has nothing to do with the issue as it is probably referred from the lower back. You can try taping and see what it does and I suggest to tape the lower back rather than the legs....I did my disc many years ago with anterior thigh pain and took around 58 days to settle down...good luck, regards JG
Thank you so much for replying to me john, I'm so glad you are healthy & safe. I apologise as the pain is just travelling to my left thigh not both so I def think your right. Myself & my husband taped my lower back from one of your brilliant & easily explained videos yesterday. Thanks again & good luck to you.
Seaneen x
@@seaneenmclaughlan5997 Were you able to get some relief?
Doctor i have no idea whats my issue but it bothers me a lot...
Sometimes after pelvic tension (i believe that is the trigger), for example when i am stressed, or after exercising, sometimes sex..... i feel this electric itching in my leg... in the thigh and front of the calf but also in the foot. I dont know what it is.... no never supplies this. Can one damaged nerve affect others too? Maybe femoral nerve + peroneal?
Is it the wasserman test?
Never heard of that test - regards JG
This is what my professors have taught me.
Thanks :) Where did you study?@@GeorgiGospodinov00
Medical university "Sofia"
I am experiencing pain in the middle thigh and groin. I thought it's femoral nerve buf when my sister perform this test, where she press gently to stabilize and push the knee, where i felt the pain is on my lower back. Is this still femoral nerve pain?
Probably note unless it is a sharp shooting pain - the hip can refer to the groin so I would get someone to look at that area, regards JG
@@JohnGibbons thank u😊
Just curious your opinion. I get some fasciculations in both calves but mainly left quad, inside and out. Also some inner quad cramping. I've seen multiple doctors over the years with many conflicting diagnoses. Some say it's L4 L5 S1 pathology (I have mild disc bulges and stenosis). Others say nerve impingement in the hip. Yet others say benign fasciculations.
Lesague and reverse Lesague are symptom free for me.
Might not be anything related to the spinal pathology - some patients have this after a lot of exercise so perhaps nothing to worry about, regards JG
@@JohnGibbons thanks for the reply John. Mine does seem to go away during exercise but flares up at rest right after.
🙏
Thanks, regards JG