We are treating someone who seeks for help. Im sure that your job is what? Treating your patients. Therefore, just looking at the imagings won't help you diagnose much and this is a limited diagnostic method for sure.īetter to use SLR test and/or Slump test for further assessments.Ĥ.
The nerve has 3 layers that protects it from overtension and compression.Īs these layers strongly support the affected nerve seen on MRIs against disc compression, it doesnt get negatively affected. Why is that? Your body is stronger than you think. Even though it is compressing a nerve root on MRIs, people dont really compain any pain or neurological deficits. disc herniation is very narutal and starts to herniate at early 20s. Does disc herniation mean always discogentic leg pain? What does it mean to you? Anything that is innervated from L4 to S1 can be leg pain source.ģ. Once one of them is irritated at L4/5/S1/2/3, you can get sciatica. All structures in the lower back are innervated. The nuclear pulposus that protrudes out of the disc contains 80% of water, meaning impossible to force it in cuz it is not concrete.Ģ. Can we push it in? Can we alter its shape? It can be but how important is it to find whether or not this is a disc problem.ġ. This means that a disc herniation is not always a contributing factor for the tensional problem in terms of sciatica. There is a poor relationship between structural changes and pain. People with disc herniation on MRIs often report no pain in their back and leg. Why? Isnt it a disc problem if there is a neural dysfunction? Well, how are you so sure? Id love to emphasize that this test is not utilised to detect disc herniation.
Of course not as everything under the skin blends together. However, do we know what causes it?ĭo we know what structures are involved in this neural problem? It means that there may be a neuropathic problem. Slump test is designed for identifying neural tensional dysfunction. Well, when do you use it? How do you use it?
Ive got asked to explain what this test is about and when to use it.
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