Approach to Low Back Pain Physical Exam - Stanford Medicine 25

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  • Опубликовано: 21 ноя 2024

Комментарии • 217

  • @jenniferdunlap2542
    @jenniferdunlap2542 6 лет назад +205

    Wow-- I think I learned more in this 8 min video then in my all my clinicals!!! Thanks!

  • @ahmedassaad1
    @ahmedassaad1 6 лет назад +60

    Honest, direct, clear, amazing doctor.
    Thank you Doc. And thank you Steve.

  • @XxCaptNsaneO8xX
    @XxCaptNsaneO8xX 2 года назад +4

    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.

  • @centroquiropracticoruibal5085
    @centroquiropracticoruibal5085 3 года назад +3

    For an internist, his musculoskeletal knowledge is quite impressive. Thanks for the video!

  • @ajowka1
    @ajowka1 5 лет назад +24

    Outstanding teaching of bedside skills. Thanks for the revival of bed-side exam.

  • @Exodiaright
    @Exodiaright 5 лет назад +5

    The most comprehensive PE concerning the low back pain ever.

  • @stampedmed
    @stampedmed 5 лет назад +7

    This is one of the best videos I have ever watched on back pain.

    • @no65ves
      @no65ves 4 года назад

      Stenoza

    • @no65ves
      @no65ves 4 года назад

      A

    • @physiomaverick3274
      @physiomaverick3274 4 года назад

      hey plz check this also
      ruclips.net/video/yQ2kSSJl1QI/видео.html

  • @srinivasmantha5994
    @srinivasmantha5994 3 года назад +1

    Excellent. Brief yet comprehensive This is what is required. Lot of information can be gathered bedside clinical examination

  • @exannuc
    @exannuc 4 года назад +5

    I often come back to this video

  • @arfaa584
    @arfaa584 Год назад

    Thankyou. Your video is part of the plabable learning bank .😀

  • @mildziute
    @mildziute 2 года назад +2

    This is a very beautiful demonstration, I wish the SI joint and facet joints were tested for symptoms too. Thank you

  • @DrAdnan
    @DrAdnan 5 лет назад +3

    We see low back pain cases every day on my family med rotations- this is so helpful, thank you!

  • @dr.yamanfawal9419
    @dr.yamanfawal9419 Год назад +1

    Steve is a professional patient

    • @dr.douglask.mutenyo1329
      @dr.douglask.mutenyo1329 24 дня назад

      Haha he even knows the L4 reflex exam the way he moves his leg without any instruction😅

  • @exannuc
    @exannuc 4 года назад +8

    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.

  • @dryedlapalli
    @dryedlapalli 4 года назад +2

    Best video for low back exam

  • @RelaxationFixation-tc8mg
    @RelaxationFixation-tc8mg 3 года назад +5

    Patient reaction in minute 2:15 was genuine

  • @jimboland1730
    @jimboland1730 4 года назад +1

    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.

  • @zentousen
    @zentousen 5 лет назад +4

    Really helpful to see which technique corresponds to which nerve(s)!

  • @akinsdecaprio
    @akinsdecaprio 2 года назад

    The best explanation I've seen so far

  • @ranniekapil6646
    @ranniekapil6646 9 месяцев назад +1

    Amazing explanation. Very easy to understand, thank you.

  • @myofficialphysiotherapist1542
    @myofficialphysiotherapist1542 Год назад

    U are a genuine teacher

  • @anumtariq1876
    @anumtariq1876 2 года назад

    Extremely helpful video for FCP back examinations, Thank you!!

  • @HelanaJabeen
    @HelanaJabeen 3 месяца назад

    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

  • @ejazmohdkhan
    @ejazmohdkhan 3 года назад

    So brief and crisp approach...

  • @Corvetjoe1
    @Corvetjoe1 4 года назад +2

    Watching this made my back hurt more.

  • @disciple68
    @disciple68 3 года назад +4

    Great explanation Dr. Ballsdeep.

  • @marammosbah3241
    @marammosbah3241 2 года назад +1

    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

  • @rs-cw7bd
    @rs-cw7bd 4 месяца назад

    Thankyou so much Dr Singh and Steve!! Great educational video

  • @oomma5
    @oomma5 7 лет назад +2

    L2 is hip flexion, L3 is knee extension, L4 is Dorsiflexion. Which one were you testing for L4?

  • @kumarswamymc433
    @kumarswamymc433 2 года назад

    Simple , beautiful and informative , thanks 🙏🙏🙏

  • @olivegoddess1
    @olivegoddess1 5 лет назад

    Thank you thank you! I'm an acupuncturist and needed a quick review. Lbp is one of the most common complaints of my patients.

  • @NAIJADOCTORS
    @NAIJADOCTORS 3 года назад +2

    Really nice and very educating video. It just made me understand so much so easily. Big up to you. Thanks

  • @sanjaykumar-vw4sc
    @sanjaykumar-vw4sc 8 месяцев назад

    Lucidly presented. Thanks

  • @aidrousyusuf5735
    @aidrousyusuf5735 Год назад

    Excellent teaching, thank you

  • @DrHamud
    @DrHamud 2 года назад +1

    you make it look so easy. thanks

  • @hasmiksarkisian
    @hasmiksarkisian 6 месяцев назад

    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.

  • @Mahadevan760
    @Mahadevan760 Год назад

    well done,succintly and beautifully explained, thank you

  • @khurramkhurram3200
    @khurramkhurram3200 5 лет назад

    Excellent demonstration of the neurological examination.

  • @AngelaGrace2
    @AngelaGrace2 2 года назад +1

    Thanks, Doc. Thanks, Steve.

  • @sunving
    @sunving 4 года назад +1

    Thank you Doctor as well as Steve very much.

  • @CushingsSx
    @CushingsSx 4 года назад +4

    Awesome SP 😍 there: Tripod sign perfectly done

  • @xavierwarren9799
    @xavierwarren9799 Год назад

    Amazing...just amazing loved the intro music by the so Stanford

  • @drgadham
    @drgadham 3 года назад

    Excellent illustration 👌

  • @cooltroop2
    @cooltroop2 2 года назад

    Stellar education, thank you, Dr, and Steve.

  • @putu2003in
    @putu2003in 5 лет назад +2

    Fantastic video, Thanks a lot Dr Baldeep, Mr steve.

  • @Peter-md9mf
    @Peter-md9mf 3 года назад +1

    Thanks doc. That was a concise and to the point exam.

  • @tesneemmuhammad279
    @tesneemmuhammad279 2 года назад

    Very focused and useful video, thanks a lot

  • @monkehp
    @monkehp 2 месяца назад

    YYYEEEESSSSS wonderful video. Thank you!

  • @Dr-789
    @Dr-789 4 года назад +2

    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

  • @ucgolie84
    @ucgolie84 6 лет назад +7

    Thank you, this is a great video! The explanation is also very clear and concise. Very helpful for mini docs :)

  • @Patrick.chambers
    @Patrick.chambers 3 года назад +1

    I also like getting Baldeep in my patients

  • @kajaljadhav2463
    @kajaljadhav2463 2 года назад

    Very much helpful.. thank you so much doc👍🏻👍🏻👍🏻

  • @burakuzun2045
    @burakuzun2045 5 лет назад +2

    Very clear very effective. It wouldn't be expected more as a new juniour on this journey :)

  • @anaskhwelhe9798
    @anaskhwelhe9798 2 года назад

    Thank you for choiceing a man for exam

  • @rodlrfilmmakercreator1460
    @rodlrfilmmakercreator1460 5 лет назад

    Excellent video very informative. I would like to see one video that the patient fell back pain for demonstration

  • @anha4397
    @anha4397 4 года назад +1

    wow thnx sir i learn a lot in just 8 min, watching from india during lockdown due to corona virus

  • @matiasmartinezcea8869
    @matiasmartinezcea8869 2 месяца назад

    thank you, steve!

  • @Dr-Mido
    @Dr-Mido 4 года назад +1

    Thank you Dr Singh! Amazing!

  • @shaneelchand2077
    @shaneelchand2077 5 лет назад

    The BEST in all the videos seen or tutorials I have attended

  • @muhammodahmad3126
    @muhammodahmad3126 4 года назад

    Excellent video. Fantastic demonstration. very helpful. Thank you

  • @xoSilverSurfer
    @xoSilverSurfer 3 года назад

    Very very helpful. Thank you Dr. Singh

  • @semanavidi8694
    @semanavidi8694 5 лет назад +1

    Thank you doc, you were awesome.

  • @wholeNwon
    @wholeNwon 5 лет назад +1

    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.

  • @justamedico1945
    @justamedico1945 4 года назад

    perfect ......concise and just on point
    i really alot froml your videos
    thank you so much

  • @pratibhasingh8845
    @pratibhasingh8845 3 года назад

    Concise and comprehensive
    Thank you

  • @DisabilityExams
    @DisabilityExams 3 года назад

    Great review - thank you

  • @aliazamqureshi6210
    @aliazamqureshi6210 5 лет назад +1

    excellent video, thanks Steve you did very well. thanks Doc

  • @arongeorge8848
    @arongeorge8848 Месяц назад

    excellent video

  • @nicolasvictoire3832
    @nicolasvictoire3832 4 года назад +3

    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

  • @yousseftarek324
    @yousseftarek324 2 года назад

    Great work❤️

  • @kristydech9541
    @kristydech9541 4 года назад +1

    What a great video, thank you for sharing your expertise/clinical knowledge on such a common issue in primary care!

  • @s.shuker2785
    @s.shuker2785 2 года назад

    This video is great!!!!

  • @ΆρωμαΜπλε
    @ΆρωμαΜπλε 2 года назад

    extremely helpful thanks

  • @docajeet
    @docajeet 6 лет назад +1

    Excellent teaching.

  • @drgadham
    @drgadham 3 года назад

    GREAT TEACHING

  • @tatianakaragiannidou2419
    @tatianakaragiannidou2419 3 года назад

    Thank you so much.I would like to ask if the muscle massage gun couses any problems in the central nerves of the spine.

  • @rachelaichler6623
    @rachelaichler6623 4 года назад

    Excellent! Thank you for this information! Very helpful!

  • @fatumashame3396
    @fatumashame3396 6 лет назад +2

    Thank you the exercise really works wonders

  • @dipaksatapara4101
    @dipaksatapara4101 3 года назад

    Very informative video sir .!!

  • @TheNeuteredCat1
    @TheNeuteredCat1 5 лет назад +85

    Steve looks like sandman

  • @michaelwai6429
    @michaelwai6429 2 года назад

    Thank you for the great video doc! I learnt a lot. But is it necessary to compare sensation of both limbs? Im just curious..

    • @michaelwai6429
      @michaelwai6429 2 года назад

      Because I noticed you did not when conducting the sensation assessment

  • @Bathrezz1
    @Bathrezz1 5 лет назад +1

    Thanks Steve!

  • @jeizu786
    @jeizu786 5 лет назад +1

    Very informative..thanks

    • @physiomaverick3274
      @physiomaverick3274 4 года назад

      hey plz see this also
      ruclips.net/video/yQ2kSSJl1QI/видео.html

  • @nettd3694
    @nettd3694 4 года назад

    Wonderful video

  • @gordi45
    @gordi45 6 лет назад

    Excellent work Doctor.

  • @Anonimous1984
    @Anonimous1984 6 лет назад +2

    Thank you Steve!

  • @devendrajyothi9709
    @devendrajyothi9709 4 года назад

    Good explanation

  • @priyadarshaneesomaweera1753
    @priyadarshaneesomaweera1753 2 года назад

    thank you so much.

  • @yasser921000
    @yasser921000 4 года назад

    Thanks Steve , very nice

  • @hafeiakamal9581
    @hafeiakamal9581 4 года назад

    Thanks a lot very very nice and simple explanation 😍😍😍😍

  • @nandeesh66
    @nandeesh66 6 лет назад +5

    Excellent video

  • @paulogabrieldasilvamota6023
    @paulogabrieldasilvamota6023 6 месяцев назад

    Simplesmente fantástico!

  • @samanthawebb9621
    @samanthawebb9621 4 года назад

    Thank you!! This is so helpful!!!

  • @moristhetiger
    @moristhetiger Год назад

    Thanks a lot, sir.

  • @aliaghababaee9810
    @aliaghababaee9810 4 года назад

    very useful. thanks a lot.

  • @conscientiousswimmer5380
    @conscientiousswimmer5380 4 года назад

    With the reflexes, if there was a injury at L4 would you expect the knee reflex to be absent? or increased?, and if the lesion was at L4 does that mean that the ankle reflex would be lost or increased? Fantastic exam, I am just a little bit uncertain on that point :)

    • @Rudy34Ares
      @Rudy34Ares 3 года назад

      at that point, upper moto neuron as well as lower moto neuron are localized, so it depends which one is affected by a lession. Upper motoneuron lession gives us hyperreflexia, and lower motoneuron lession, hyporreflexia or arreflexia

  • @Heroguzhan
    @Heroguzhan 3 года назад

    Amazinggg!!

  • @nhkngan0612
    @nhkngan0612 7 лет назад +2

    Thank you! it's really useful for me

  • @saimarafique2285
    @saimarafique2285 5 лет назад +1

    I want to thank you sir, it was excelnt

  • @jadjawabreh4878
    @jadjawabreh4878 5 месяцев назад

    Fabulous