24 results
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Syndrome Flex the hip ... internally rotate the hip ... Pain in the sciatic ... #sciatica #lumbar ... clinical #video #physicalexam
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Rotation) Flex the hip ... internally rotate the hip ... Pain in the sciatic ... #sciatica #lumbar ... clinical #video #physicalexam
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
The test is positive ... if there is pain ... Pace #Maneuver #Test ... clinical #video #physicalexam ... #hip #lumbar #sciatica
Passive Straight Leg Raise Test for Low Back Pain and Sciatica

A passive straight leg raise should
for Low Back Pain ... and Sciatica ... 70 degrees of hip ... #Sciatica #Lumbar ... radiculopathy #Spine #PhysicalExam
Low Back Pain (Lumbago) - Common Differential Diagnosis and Patterns

Mechanical Low Back Pain:
Aching pain in the
Low Back Pain (Lumbago ... ) - Common Differential ... Sciatica (Radicular ... improves with rest ... #Differential #
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... Number of Joints ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(LBP) • Sciatica ... constipation Differential ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... compression • Sciatica ... Herpes zoster - HIV ... differential #diagnosis ... extremity #msk #physicalexam
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... present both at rest ... improves quickly with rest ... e.g., congenital hip ... approach #workup #differential
Piriformis Test

The Piriformis test evaluates for pain from sciatic nerve irritation caused by the piriformis muscle.
With
evaluates for pain ... from sciatic nerve ... degrees and the hips ... Reproduction of the pain ... #Hip #PhysicalExam