Back Pain

[Orihc]

Roycar,

i would have to agree with alo 120% on this one, that's what i thought of as well. out of curiosity with the neuro exam what did you do?, did you specifically do a prone knee bend test ( butler if ref needed ). I would be referring for scan if i was you!
C

[Javier Gonzalez]

I agree with alophysio. And I also wanted to know, like Orihc, what do you refer with a full neuro exam?

[asha]

Besides checking neurodynamically the L3,L4, it would help if you checked individually the segments L2,3,4. check how it moved in type one & type 2 motions respectively, check its status in lateral flexion & rotation separately during type one motion. It would definitely throw some light on how you must tackle this case.

[roycar]

how do.

After your comment alo i dug out some of o'sullivans articles on motor control and had a good read. I dont really have the time for a long post but yea you were indeed on the right track. the last couple weeks we've focused on regaining lumbar segmental range and worked on pelvic and spinal positioning with appropriate local muscle control. there's been quite an improvement. i think last session he was ~60% better. no pain in the morning which was his main problem etc etc. thanks a mil