Spine Examination: Difference between revisions
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(New page: <videoflash>d9DeoAXyIXY</videoflash> ===Look=== Look from behind for: * Muscle wasting * Loss of symmetry * Scoliosis of the spine. Then look from the side for normal: * Cervical [[lordos...) |
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''"Look over your shoulder"'' | ''"Look over your shoulder"'' | ||
* Rotation | * Rotation | ||
''"Put your chin on your chest, then as far back as it will go"'' | ''"Put your chin on your chest, then tilt back as far back as it will go"'' | ||
* flexion, and extension | * flexion, and extension | ||
Sit them on couch (to fix their pelvis), arms crossed, rotate upper body manually | Sit them on couch (to fix their pelvis), arms crossed, rotate upper body manually | ||
Latest revision as of 07:49, 2 April 2013
<videoflash>d9DeoAXyIXY</videoflash>
Look
Look from behind for:
- Muscle wasting
- Loss of symmetry
- Scoliosis of the spine.
Then look from the side for normal:
Feel
Feel down the spinal processes, and the sacral iliac joints Palpate paraspinal muscles for any obvious tenderness.
Move
"Try and touch your toes, please?"
- two fingers on lumbar spine measures flexion.
- Then get them to go as far back as possible - extension
"Can you run a hand down your side towards your knee?"
- Lateral flexion
"Touch your ear on your shoulder..."
- Cervical lateral flexion
"Look over your shoulder"
- Rotation
"Put your chin on your chest, then tilt back as far back as it will go"
- flexion, and extension
Sit them on couch (to fix their pelvis), arms crossed, rotate upper body manually
- Tests thoracic rotation
Lie patient back, straight leg raised, and perform dorsi-flexion of the foot.
- If there is trapped nerve involvement, or a prolapsed intervertebral disc, this can make the pain worse.
If the history has indicated any problems, ideally I would also like to do a full neurological examination.