lumbar exam

Question 1

disc herniation/radiculopathy

Answer 1

peripheralized w flex
centralized w ext
\+ slump/SLR
imaging clinical correlation
possible neuro s/s
may have lat shift
red sx w unloading

Question 2

degenerative spinal stenosis

Answer 2

red sx w repeated flex
inc sx w extension
imaging
\+ two stage treadmill test
poss neuro
red ext ROM

Question 3

spondylolisthesis

Answer 3

pain w loading
inc pain w repeated ext
imaging
step off

Question 4

disk degeneration

Answer 4

imaging
general stiffness with PA
no directional preference

Question 5

facet jt degeneration

Answer 5

pain w lumbar quadrant
pain w PA
red pain w flex

Question 6

infection

Answer 6

fever
redness/swelling
nonmechanical pain pattern

Question 7

malignancy

Answer 7

nonmechanical pattern (may be mechanical tho)
\+ imaging