Neurological Examination The findings from the physical examination determine the extent of the motor and sensory evaluation. Further, each leg is measured to determine if the legs are of equal size and length. Each straight leg raise may be combined while the patient dorsiflexes (door-see-flexes) the foot (toes pointed toward the head). While the patient is lying on their back (called 'supine', sue-pine), the physician may raise each of the patient's legs - this test is called straight leg raises. Spinal range-of-motion is evaluated as the patient turns their head from side-to-side bends their head toward the shoulder twists the shoulders from side-to-side bends forward at the waist to touch their toes, from side-to-side, and then backward. With the patient standing, the shoulders and hips are checked to determine if they are of equal height bilaterally (left, right sides). The physician inspects and feels (called 'palpation', pal-pay-shun) the spine for muscle tenderness and spasm. Physical Examination Prior to the examination, the patient changes into a gown. How does the condition affect your life? For example, does it prevent you from working, driving a car, walking, or other daily activities?.Was there a specific event such as a car accident that preceded the symptoms or is this a recurring problem?.Does the pain radiate into the arms or legs (extremities)?.Was the onset of symptoms gradual or sudden?.The spine specialist will review the written information provided by the patient and ask many questions. Prior to meeting the spine specialist, the medical assistant or nurse may weigh the patient, measure height, and take the patient's blood pressure and pulse. The patient indicates where pain is felt using symbols, grades the intensity and type of pain, as well as other sensations such as numbness or weakness. The diagram is a drawing of the front and back of the body. A universal pain diagram is provided to help the patient illustrate the location and characteristics of their pain. What to Expect New patients complete forms to provide information about their medical and family history, previous surgery/ies, allergies, and current medications. Bring an extra set of 'ears' such as a family member or friend to the consultation. List the names and contact information of other medical professionals or practitioners who are currently treating or who have treated the condition.Ħ. If possible, bring the actual x-ray, MRI, CT Scan, or other imaging study/film.Ĥ. Bring a copy of reported results from diagnostic tests or studies (e.g. Describe the type of pain, location, when it started and activities that aggravate or alleviate symptoms.ģ. Include allergies and side effects experienced from medications (or other substances) taken in the past.Ģ. Write down your medical history, family history and all medications including over-the-counter drugs, vitamins and herbs. The following suggestions are provided to help patients prepare:ġ. The consultation includes a physical and neurological examination and review of the patient's medical history and current symptoms. Spinal disorders include scoliosis (sko-lee-oh-sis), osteoarthritis (os-t-o-arth-rye-tis), osteoporosis (os-t-o-pour-o-sis), herniated disc (her-knee-ate-ed disc), spinal stenosis (spinal sten-oh-sis), trauma, vertebral fracture, deformity, tumor, infection, and congenital abnormalities.Īppointment Preparation Consulting a spine specialist is similar to a visit with a primary care physician (PCP) - except the focus is on the spine. Often these specialists have received advanced training such as a fellowship in spine care. Spine Surgeons Orthopaedic spine surgeons and neurosurgeons are physicians who have completed additional years of medical training to diagnose and treat disorders affecting the spine. Most patients find a qualified spine specialist through referral from their primary care physician or other treating practitioner. When back or neck pain strikes - it may be wise to seek the opinion of a physician that specializes in spine care. However, great strides have been made in medicine and the health sciences to increase longevity and expand quality of life. Unfortunately there is no 'magic bullet' to halt aging. It may be wise to seek the opinion of a physician that specializes in spine care.
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