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Demographic data
Name: Muktaben patel
Age: 60 years
Gender: female
Occupation: house wife
Address: Ognaj
Demographic data
cont...
Refferd by : self
Chief complain:
patient has pain in right lower
back to anterior aspect of leg and
feet.
- tingling and numbness present
in anterior aspect of leg and feet.(
right side).
Date of assessment:
8/7/2021
Present history:patient
having pain in right lower
back to right side lower limb.
Tingling and numbnese is
present.
Past history: pain started since
2 month.
Personal history:not
significant.
Medical and surgical history :
not present.
Pain assessment
Mode of onset:gradual
Pain site: right side lower back pain to
right limb.
Pain duration: since 2 month.
Type of pain: dull aching
Aggravating factor : forward bending
Relieving factor lying position and extension
Intensity of pain: taking vas scale
Observation
Body built: mesomorphic
Gait: Normal
Posture : Normal
Palpation
Tenderness: Right lower back
Spasm: right side illiopsoas &
hamstring muscle spasm.
_ left side illiopsoas and hamstring
muscle spasm
Examination
ROM : hip flexion = 0 to 110
hip extension = 0 to 20
hip abduction= 0 to 45
hip adduction = 0 to30
Knee flexion = 0to135
Knee extension=135 to 0
Right left
MMT : hip flexors 4 4+
hip abductors 3+ 4
Knee flexors 5 5
Knee extensors 5 5
Ankle planter flexors 5 5
Ankle dorsiflexors 5 5
Calf muscle tightness b/l
Sensory examination : sensation loss
on planter aspect in both great toe.
Sometimes no feel sensation on sole
of foot.
Myotomes : Normal
L1,L2 hip flexion
• L3 knee extension
• L4 ankle dorsiflexion
• L5 great toe extension
RIght left
LLD :ASIS to medial 37inch 37 inch
Malleolus
Pelvic squaring: umbilicus to
ASIS level both side
Same and both ASIS
Level equal.
Special test
SLR test
Right side +ve
Left side - ve
Sacroilliac rocking test
• Faber test +ve
• Aprroximation test + ve
• Thigh thrust test +ve
• Sacroilliac rocking test +ve
• Gapping test +ve
Diagnosis
• Lumbar Spondylosis
• Lumbar radiculopathy
• L5S1 pathology
• Sacroilliac joint dysfunction

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Lumbar radiculopathy and SI joint dysfunction

  • 1.
  • 2. Demographic data Name: Muktaben patel Age: 60 years Gender: female Occupation: house wife Address: Ognaj
  • 3. Demographic data cont... Refferd by : self Chief complain: patient has pain in right lower back to anterior aspect of leg and feet. - tingling and numbness present in anterior aspect of leg and feet.( right side).
  • 4. Date of assessment: 8/7/2021 Present history:patient having pain in right lower back to right side lower limb. Tingling and numbnese is present.
  • 5. Past history: pain started since 2 month. Personal history:not significant. Medical and surgical history : not present.
  • 6. Pain assessment Mode of onset:gradual Pain site: right side lower back pain to right limb. Pain duration: since 2 month.
  • 7. Type of pain: dull aching Aggravating factor : forward bending Relieving factor lying position and extension Intensity of pain: taking vas scale
  • 8.
  • 10. Palpation Tenderness: Right lower back Spasm: right side illiopsoas & hamstring muscle spasm. _ left side illiopsoas and hamstring muscle spasm
  • 11. Examination ROM : hip flexion = 0 to 110 hip extension = 0 to 20 hip abduction= 0 to 45 hip adduction = 0 to30 Knee flexion = 0to135 Knee extension=135 to 0
  • 12. Right left MMT : hip flexors 4 4+ hip abductors 3+ 4 Knee flexors 5 5 Knee extensors 5 5 Ankle planter flexors 5 5 Ankle dorsiflexors 5 5
  • 13. Calf muscle tightness b/l Sensory examination : sensation loss on planter aspect in both great toe. Sometimes no feel sensation on sole of foot. Myotomes : Normal L1,L2 hip flexion • L3 knee extension • L4 ankle dorsiflexion • L5 great toe extension
  • 14. RIght left LLD :ASIS to medial 37inch 37 inch Malleolus Pelvic squaring: umbilicus to ASIS level both side Same and both ASIS Level equal.
  • 15. Special test SLR test Right side +ve Left side - ve
  • 16.
  • 17.
  • 19.
  • 20.
  • 21. • Faber test +ve • Aprroximation test + ve • Thigh thrust test +ve • Sacroilliac rocking test +ve • Gapping test +ve
  • 22. Diagnosis • Lumbar Spondylosis • Lumbar radiculopathy • L5S1 pathology • Sacroilliac joint dysfunction