This week in clinic, I helped with a patient with a very
interesting presentation. The patient came in complaining of low
back pain that radiated down her leg all the way to her feet. Any
transitional movements increased the pain. The pain was described
as sharp and stabbing with numbness and tingling in her feet.
Bending forward or activities like coughing or sneezing would also
increase the symptoms.
All of these symptoms are a classic presentation of patient with
intervertebral disc problems. Therefore, our treatment began with a
McKenzie low back evaluation, which showed that extension would
help the patient. So, we started the patient with repeated, supine
back press-ups, which went well the first time. During the second
set of the exercises, the pain became very severe again and could
not be completed. From this point forward, we decided that pure
distraction (without flexion or extension) of the lumbar spine and
cold packs would be the best option while the patient was so
By the end of the treatment, we were able to get the pain down
significantly, but transitional movements still aggravated the
symptoms. So, we had the patient come in the next day so we could
continue treatment. The patient stated that the pain had decreased
significantly, and that there were no longer numbness and tingling
in the feet. That day we continued with the lumbar distraction and
cold packs, since the patient was still very acute. By the end of
the second treatment, we had the patient's pain down significantly
with no more radiation into the legs.
Saturday evening, Rob and I threw our Halloween Noir party. All
the guests were supposed to wear black and enjoy spooky music,
food, and drinks. Several of my fellow ninth trimester interns were
able to join in the fun including: Candace Gesicki, RJ Burr,
Jerrica Sweetnich, Ryan Meehan, and Bryan Robinett (all shown in
End of Week High
The week ended on a very high note. Exam scores were finally
posted for the September boards. I passed Part II, III, and
Physiotherapy Board Exams!! It's a very great feeling to have that
behind me. Now I only have Part IV to take in November, and then I
am finished with exams.
• First Patients and Jurisprudence Class
• Ideas for the Future
• Part IV Board Exams
To read older blog posts, scroll to the bottom and click the "Older Posts" button.