In this episode, Susan and Erica discuss a series of patients that all presented lumbosacral pain. Clinical pattern recognition is an important part of the assessment process.
The pattern does not dictate the intervention process, but the inability or ability of the pattern to change in the assessment and intervention process is key. This practical presentation of a typical female with lumbosacral pain demonstrates the recognition of the clinical pattern. Once this is discovered, what are the best ways to intervene? Where do you start and what do you look for? Is it better to start and the impairment level or the meaningful functional movement level? How quickly do you change and discover the next layer. The obvious presentation requires some keen clinical reasoning to progress the “one size does not fit all” presentation.
A glance at this episode:
- [1:46] The symptoms that these patients are bringing
- [2:58] Extension is causing pain in these patients
- [4:43] Ruling out the hip
- [10:14] Gaining rotation in the side they’re missing
- [12:36] How to improve hip extension
- [17:42] Finding the driver
- [19:17] Single leg stance on the right side
- [24:15] If you’re making someone worse by removing a movement pattern, it’s not the right time
- [28:13] Clinical patterns in the hip