A 42-year-old patient presents with right anterolateral elbo…

A 42-year-old patient presents with right anterolateral elbow pain that began three weeks ago after starting a new tennis routine. The pain is described as mild and only occurs during backhand strokes or when lifting heavy objects. The pain resolves quickly after the activity stops, and the patient reports no night pain or pain at rest How would the patient’s irritability be rated? 

Case Study: A physical therapist is performing a neurologica…

Case Study: A physical therapist is performing a neurological examination on a patient with right low back pain and radiating pain. The physical therapist notes weakness with right big toe extension compared to the left when holding for 5 seconds.  The physical therapist (PT) is attempting to discern between weakness in this local muscle versus specific myotome/vertebral level impairment. What other muscle group can the PT assess that would be consistent with this myotome vertebral level? 

A physical therapist (PT) is evaluating a patient with cervi…

A physical therapist (PT) is evaluating a patient with cervical pain with radiating symptoms. The patient reports pain, numbness, and tingling in the volar (palmar) aspect of the thumb and index finger. Based on this symptom distribution, what cervical vertebral level is most likely involved?

A 45-year-old office worker presents to the clinic with comp…

A 45-year-old office worker presents to the clinic with complaints of neck pain and tingling radiating down the lateral aspect of the right arm into the thumb and index finger. The patient reports that symptoms worsen with prolonged computer use and when turning her head to the right.   Spurling’s test reproduces symptoms  Cervical distraction provides relief  Motor strength, reflexes, and sensation are mildly diminished in the affected dermatomes.   What is the cervical nerve root level likely involved? 

Case study: A 32-year-old female 6 weeks post-partum is bein…

Case study: A 32-year-old female 6 weeks post-partum is being evaluated by a physical therapist (PT). The examining physical therapist notes the patient’s pain is slightly below the posterior superior iliac spine (PSIS) on the L side. The patient states that pain started around the third trimester of her pregnancy and progressively worsened over time. The evaluating physical therapist decides to implement the Laslett et al. pain provocation tests for the sacroiliac (SI) joint. Which test is not part of this cluster?