Great video! Most spinal pain that is generated by central structures are almost always associated with paraspinal muscle spasm so it is difficult to differentiate between them even if they are painful in the paraspinal muscles to palpate.
kinda cool that an internal medicine doctor is explaining a neurosurgery/ ortho/ pmr domain disease, i could never. also ive always thought a lba at 90 degrees of hip flexion was a positive SLR
Good...i wanna to explain something I think u are orthopedician and not a neurosurgeon Its more sensitive to do dorsiflexion instead of knee extension for L4 nerve root as knee ext is centered in L 3 nerve rt....Also big toe flexion goes for L4 L5 level in 30 % and for L5 S1 level in 70 %. Also for sensory level in L4 Dermatome....its better to touch medial melliolus.... Thanx
Thank you for This simplified demonstrations, it was quite helpful. As a general practionar i just recommend you name the Tests you are performing to be more specific. Thank you again
Thank you for the video. This is very short. You make a very clear. I have a lawyer back pain I want to the Acupuncture op chiropractor not help me. I like to Doctor what we can do for lower back pain. My muscle is paining so much thank you for the video.
Dr: ah yes I see you have a slipped disc Me: is it bad? Dr: not too bad, we’ll just put you in for surgery and fuse your lower back together so you walk like a thunderbird for rest of your life
thank you very much for the vidéo. Just two questions : Considering that the peripheric nerve is made essentially with A delta and C fibers , is it usefull to test the thermic sensibility? And what about the test of the pallesthesia? Thank you again
ALWAYS consider AAA, esp. in the patient with risk factors, first. The only way of clearly excluding it is with imaging. If the pt. is using anticoagulants, consider compression from hemorrhage.
I have spasms down the femular nerve tell people when legs are bent my back hurts have lower lumbar fused. Yet nobody has ever done a test in L2-4. Just say have no idea what’s going on for 5 years now.
aakash ali L3 extension of the knee (quadriceps femoris) L4 dorsal flexion of the foot (Tibialis Anterior) and L5 extension of the big toe (extensor hallucis longus) this is how we learn it as physios🤷🏼♂️
I shook a neuro's hand, paid through the nose for him to show me an MRI for 5 minutes and sent me on my way with no guidance or briefing on treatment. No one cares about you more than yourself is the lesson to be learnt.
Wow-- I think I learned more in this 8 min video then in my all my clinicals!!! Thanks!
Sad commentary.
Yep!
than*
of course it did. school is a scam business model
😂😂😂😂me too
Honest, direct, clear, amazing doctor.
Thank you Doc. And thank you Steve.
M lookout O line m omm
Outstanding teaching of bedside skills. Thanks for the revival of bed-side exam.
New grad PA here. I’m active duty Navy with a Marine Corps unit and I see a lot of low back pain. This was very helpful, thank you.
Hi
The most comprehensive PE concerning the low back pain ever.
This is one of the best videos I have ever watched on back pain.
Stenoza
A
hey plz check this also
ruclips.net/video/yQ2kSSJl1QI/видео.html
I often come back to this video
Patient reaction in minute 2:15 was genuine
For an internist, his musculoskeletal knowledge is quite impressive. Thanks for the video!
Great video! Most spinal pain that is generated by central structures are almost always associated with paraspinal muscle spasm so it is difficult to differentiate between them even if they are painful in the paraspinal muscles to palpate.
This is a very beautiful demonstration, I wish the SI joint and facet joints were tested for symptoms too. Thank you
Best video for low back exam
Excellent. Brief yet comprehensive This is what is required. Lot of information can be gathered bedside clinical examination
Thankyou so much Dr Singh and Steve!! Great educational video
Amazing explanation. Very easy to understand, thank you.
L2 is hip flexion, L3 is knee extension, L4 is Dorsiflexion. Which one were you testing for L4?
Really helpful to see which technique corresponds to which nerve(s)!
We see low back pain cases every day on my family med rotations- this is so helpful, thank you!
Huge amount of useful info. I'm sure all this was presented in residency but I had probably been on call all night and sleep walked through it.
kinda cool that an internal medicine doctor is explaining a neurosurgery/ ortho/ pmr domain disease, i could never. also ive always thought a lba at 90 degrees of hip flexion was a positive SLR
Thanks, Doc. Thanks, Steve.
Thankyou. Your video is part of the plabable learning bank .😀
Great explanation Dr. Ballsdeep.
Watching this made my back hurt more.
Steve is a professional patient
YYYEEEESSSSS wonderful video. Thank you!
Good...i wanna to explain something
I think u are orthopedician and not a neurosurgeon
Its more sensitive to do dorsiflexion instead of knee extension for L4 nerve root as knee ext is centered in L 3 nerve rt....Also big toe flexion goes for L4 L5 level in 30 % and for L5 S1 level in 70 %.
Also for sensory level in L4 Dermatome....its better to touch medial melliolus....
Thanx
Thank you Doctor as well as Steve very much.
Extremely helpful video for FCP back examinations, Thank you!!
Awesome SP 😍 there: Tripod sign perfectly done
The best explanation I've seen so far
U are a genuine teacher
Really nice and very educating video. It just made me understand so much so easily. Big up to you. Thanks
So brief and crisp approach...
here for the calmness. please. someone. delete that violin. it's killing the whole vibe
Thank you, this is a great video! The explanation is also very clear and concise. Very helpful for mini docs :)
thank you, steve!
Very clear very effective. It wouldn't be expected more as a new juniour on this journey :)
Thank you for This simplified demonstrations, it was quite helpful. As a general practionar i just recommend you name the Tests you are performing to be more specific. Thank you again
Fantastic video, Thanks a lot Dr Baldeep, Mr steve.
Thank you for the video. This is very short. You make a very clear. I have a lawyer back pain I want to the Acupuncture op chiropractor not help me. I like to Doctor what we can do for lower back pain. My muscle is paining so much thank you for the video.
Simple , beautiful and informative , thanks 🙏🙏🙏
I also like getting Baldeep in my patients
Lucidly presented. Thanks
Thanks doc. That was a concise and to the point exam.
Thank you doc, you were awesome.
you make it look so easy. thanks
Stellar education, thank you, Dr, and Steve.
Amazing...just amazing loved the intro music by the so Stanford
Excellent demonstration of the neurological examination.
Steve looks like sandman
Thank you Dr Singh! Amazing!
excellent video, thanks Steve you did very well. thanks Doc
well done,succintly and beautifully explained, thank you
wow thnx sir i learn a lot in just 8 min, watching from india during lockdown due to corona virus
Dr: ah yes I see you have a slipped disc
Me: is it bad?
Dr: not too bad, we’ll just put you in for surgery and fuse your lower back together so you walk like a thunderbird for rest of your life
Thank you the exercise really works wonders
Excellent video. Fantastic demonstration. very helpful. Thank you
Thank you thank you! I'm an acupuncturist and needed a quick review. Lbp is one of the most common complaints of my patients.
Excellent teaching, thank you
Thank you Steve!
thank you very much for the vidéo. Just two questions : Considering that the peripheric nerve is made essentially with A delta and C fibers , is it usefull to test the thermic sensibility? And what about the test of the pallesthesia? Thank you again
Excellent! Thank you for this information! Very helpful!
Concise and comprehensive
Thank you
ALWAYS consider AAA, esp. in the patient with risk factors, first. The only way of clearly excluding it is with imaging. If the pt. is using anticoagulants, consider compression from hemorrhage.
Excellent video very informative. I would like to see one video that the patient fell back pain for demonstration
What a great video, thank you for sharing your expertise/clinical knowledge on such a common issue in primary care!
perfect ......concise and just on point
i really alot froml your videos
thank you so much
Very much helpful.. thank you so much doc👍🏻👍🏻👍🏻
Thank you! it's really useful for me
Very focused and useful video, thanks a lot
Thanks Steve!
Thank you for choiceing a man for exam
thank you so much.
Simplesmente fantástico!
Excellent illustration 👌
Excellent teaching.
I want to thank you sir, it was excelnt
Very very helpful. Thank you Dr. Singh
thank you Steve
Thank you sandman from Spider-Man 3 for being the demo.
Thanks a lot, sir.
Thank you so much.I would like to ask if the muscle massage gun couses any problems in the central nerves of the spine.
Thank you!! This is so helpful!!!
Excellent video
Excellent work Doctor.
I have spasms down the femular nerve tell people when legs are bent my back hurts have lower lumbar fused. Yet nobody has ever done a test in L2-4. Just say have no idea what’s going on for 5 years now.
thanks, really helpful
Which specialty doctor performs this Musculoskeletal exam??? My internist would never go through the trouble.
This is so helpful. Thankyou!!!
The BEST in all the videos seen or tutorials I have attended
Very informative..thanks
hey plz see this also
ruclips.net/video/yQ2kSSJl1QI/видео.html
Great review - thank you
Thanks a lot very very nice and simple explanation 😍😍😍😍
Is He Just Check the L4 Mayotome with knee extension... I think L4 is dorsi flexion if i am wrong correct me plX
aakash ali L3 extension of the knee (quadriceps femoris) L4 dorsal flexion of the foot (Tibialis Anterior) and L5 extension of the big toe (extensor hallucis longus) this is how we learn it as physios🤷🏼♂️
yeah / thats what i said He Saib L4 And Then Said Go For Extension of knee
extremely helpful thanks
I’ve had back problems for years and seen numerous doctors (ortho, neuro, surgeons, etc). None have ever done a comprehensive exam like this.
I shook a neuro's hand, paid through the nose for him to show me an MRI for 5 minutes and sent me on my way with no guidance or briefing on treatment. No one cares about you more than yourself is the lesson to be learnt.
CAN'T MISS Cauda Equina Syndrome either!
This video is great!!!!
We’re getting Baldeep into lower back pain