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Old 12-04-2013, 11:44   #39
ender18d
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Join Date: May 2004
Location: Pineland
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Quote:
Originally Posted by DocIllinois View Post
This stuck out for 'interspinous or ligamentum flavum tear,' which usually doesn't present symptoms for a few days, and has all of the positive ortho finding mentioned, but we have to be good boys and avoid the painfully obvious here.

But what the hell. When he lies supine and both legs are raised together, is the pain exacerbated?
Any motion that particularly manipulates the vertebral joints results in pain, so yeah, there's some pain when the straight leg raise is high enough to put motion into the back.... But the straight leg raise does not result in radiating sciatic pain that is the classic finding for that test.
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