A physical therapist is working with a 41 y/o old constructi…
A physical therapist is working with a 41 y/o old construction worker. The patient complains of low back pain that occurred after lifting some heavy cinder blocks at his working site in Hudson Yards about 1 week ago. He rates the pain a 7.0 on the VAS and says that it is worse on the right side of the lumbar spine but also radiates into the right buttock. During your examination, you note that his active lumbar flexion, right rotation, and left lateral flexion are all limited and painful. He has a (+) SLR test and Faber test. His hip internal rotation PROM is 30 degrees on the right side and 38 degrees on the left hip. Lumbar segments L3-L5 are painful and hypomobile upon Central P-A assessment. He scored a 10 on the work-subscale of the Fear Avoidance Behavior Questionnaire and a 43.0 on the Oswestry Disability Index. He has suffered from these types of episodes before and reports that he usually lays on the floor supine for three days and the pain goes away, however this time, his approach has not worked. He has been prescribed cyclobenzaprine by his physician and states that it makes him feel better, although he can’t function properly because he feels loopy the next day after taking the medication. Based on your examination, what is the BEST intervention choice for this patient?
Read DetailsA physical therapist is evaluating a patient with a diagnosi…
A physical therapist is evaluating a patient with a diagnosis of lumbopelvic pain. The patient reports pain and paresthesia in the perineal area and a recent onset of urinary and bowel incontinence. Which of the following is the BEST choice of patient management for the physical therapist?
Read DetailsA physical therapist is using the Six-Position Test. During…
A physical therapist is using the Six-Position Test. During the test, the patient demonstrates pain with hook-lying in supine, and then relief of pain with prone lying with legs straight. Which of the following is MOST likely the cause of these symptoms?
Read DetailsA physical therapist is working with a younger patient with…
A physical therapist is working with a younger patient with a diagnosis of a high groin strain. The injury occurred during a sports event. The patient is responding poorly to PT with persistent pain is located at the pubic bone. Pain can be reproduced with resisted combined hip adduction, knee flexion and tibial internal rotation. The patient denies increased pain with coughing and/or bending forward. Which of the following differential diagnoses is MOST likely to be causing the symptoms?
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