23 results
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 ... #physicalexam #msk
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 ... #physicalexam #msk
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 ... #lumbar #sciatica ... #msk #orthopedics
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 ... #Hip #PhysicalExam ... video #sports #msk
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 ... #Low #Back #Pain ... video #sports #msk
Leg Pain - Differential Diagnosis Framework

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

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint Pain ... present both at rest ... improves quickly with rest ... e.g., congenital hip ... #MSK #rheumatology
Hip Arthrocentesis on POCUS
Septic patient with hip pain, why wait for IR? 
Instead perform #POCUS guided
Hip Arthrocentesis ... Septic patient with hip ... pain, why wait ... perform #POCUS guided ... clinical #ultrasound #msk
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Severe low back pain ... (LBP) • Sciatica ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... down the joint -> Pain ... affects the knee hip ... Comparison #Versus #MSK