Tuesday, January 20, 2009

LBP or LAIR !?!

Ladies and gentlemen I'm here now to testify to the Waddell signs! I got to see a LBP pt today with another PT to view a new mobilization(it was like some Jeff Rao stuff...the dude got cavitation on his skin CRAZY). Anyways, 32 yo male with LBP that was radiating to the knee on the right side, hurt to do anything, positive straight leg test and PAVIMs. We start the treatment and wait a minute the pain is now going down the left side(red flag). So, I start looking through the guys chart while the other PT was continuing with treatment, just to see if there was any history on this dude. Two more red flags popped up...negative imaging results for injury and my man was 100% SVC(G'vmt is paying him). So I got to do Waddell's, from the sitting knee extension, rotating through the hips thing, and cervical pseudo compression. BUSTED in my books people!!! But the dude still gets to come to therapy its not like we get to kick him out, we just get to baby him along for two more sessions...kind of a let down, oh well we got a chuckle out of it.

PS:
Jacquelyne, I believe those types of wounds are called "Tweener Sores" nasty!! You should ask your CI for clarification as to where the "Tweener" starts and stops, maybe its in the O'sullivan book?

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