Radicular Lower Back Pain MASTER CLASS For Physical Therapists [Disc Herniation]

By dpope2020

November 3, 2023

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Radicular Lower Back Pain MASTER CLASS For Physical Therapists [Disc Herniation]

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In today's video we go over Radicular Lower Back Pain MASTER CLASS For Physical Therapists [Disc Herniation]: 

  • 0:00 Introduction
  • 3:43 What is radicular lower back pain?
  • 5:35 What is the prevalence of radicular lower back pain and disc pathology?
  • 12:41 What is the prognosis and natural history of radicular lower back pain and disc pathology?
  • 15:42 What are the predisposing risk factors for radicular lower back pain and disc pathology?
  • 21:58 What is the job of our intervertebral discs?
  • 22:23 What is the anatomy of disc herniations and bluges?
  • 30:06 What are the different types of disc herniations?
  • 33:41 How to read MRIs from a disc herniation
  • 36:53 What's the mechanism of injury for a disc herniation? 
  • 41:08 Does spinal flexion (sitting) increase pressure within the disc?
  • 43:03 Does lifting with a rounded (flexed) lumbar spine increase risk of injury?
  • 45:34 Can herniated discs heal and adapt?
  • 48:06 What is the history and clinical presentation of radicular low back pain?
  • 51:38 Myotome testing to diagnose radicular low back pain
  • 53:28 Dermatome testing to diagnose radicular low back pain
  • 55:55 Reflex testing to diagnose radicular low back pain
  • 56:48 Neurodynamic testing to diagnose radicular low back pain
  • 58:49 Location of pain to diagnose radicular low back pain
  • 1:00:08 Diagnostic imaging (MRI) to diagnose radicular low back pain
  • 1:01:17 EMG and nerve conduction velocity testing to diagnose radicular low back pain
  • 1:02:21 How to explain the diagnosis to patients
  • 1:14:46 Differential diagnosis of radicular low back pain
  • 1:18:10 When weakness is a red flag and requires emergency surgery
  • 1:24:48 Best treatments for radicular low back pain and disc herniation
  • 1:36:41 Motor control exercises vs. McKenzie exercises
  • 1:42:11 Epidural injection in the treatment of radicular low back pain and disc herniation
  • 1:44:14 Surgery (microdiscectomy) in the treatment of radicular low back pain and disc herniation
  • 1:50:28 Treatment plan / algorithm for patients with radicular low back pain and disc herniation

Back pain really is the best...

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Dan Pope DPT, OCS, CSCS

References: 

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Images:

  1. Intervertebral disc: Source: https://commons.wikimedia.org/wiki/File:716_Intervertebral_Disk.jpg attribution: OpenStax College, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons

  2. Herniated disc: source: https://commons.wikimedia.org/wiki/File:728_Herniated_Disk.jpg attribution: OpenStax College, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons

  3. Functional Spinal Unit: source: https://commons.wikimedia.org/wiki/File:Functional_spinal_unit_(FSU).webp attribution: Irina Nefedova, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons

  4. Spinal Canal: source: https://commons.wikimedia.org/wiki/File:Spinal_canal.webp attribution:Irina Nefedova, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons

  5. Dermatomes: source: https://commons.wikimedia.org/wiki/File:Dermatomes_labeled,_female_front-back_3d-shaded.svg attribution: Goran_tek-en, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons

  6. Epidural: Source: https://commons.wikimedia.org/wiki/File:Epidural_Anesthesia.png Attribution: BruceBlaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons Modified by Fitness Pain Free LLC