Keywords; slump test for sciatica.
This orthopaedic examination for a pinched nerve in the lower back is a complex manoeuvre that comes in a simpler form called Flip which you can do at home to discover if your paresthesias in the lower limb could be coming from your spine.
The lower back supplies two main nerves that can cause tingling in the lower extremity. It's the onset of leg pain that gets the surgeon excited, and that you don't want.
At our femoral nerve page
you will appreciate that the pain and tingling from the lower back may
radiate to the groin and top of the thigh, and the slump test will be
negative. Instead we use a different stretch test, which is far more
difficult to administer, and has no place in a self help site such as
this. It's best left to your chiropractor.
There's plenty of combined medical and chiropractic research for pinched nerves.
In interesting research, three neurosurgeons and a
chiropractor evaluated the effectiveness of micro discectomy versus
manipulation in a pilot study for patients with pain and tingling in the
feet and legs from a pinched nerve in the lower back.
All forty patients had first undergone three months of conservative medical and physiotherapy without relief of the leg pain.
Actually, even that is an over simplification because the Flip and Slump tests are only for a pinched SCIATIC NERVE.
After three months there was clear benefit in
The cost of the chiropractic care was less than 10 percent of the surgery, with zero risks and side effects.
The Flip is a simplified version of the slump test for sciatica.
In the Flip test, you can assess an impingement of the sciatic nerve at home. Sit in an ordinary upright chair, and somebody else raises first your good leg parallel to the ground, then lower it, remembering the pull behind your thigh and calf.
Now ask your examiner to raise the naughty leg. Is it significantly tighter or more painful than the other? If it hurts only in the back, not the lower limb, then you have no frank sciatica, only the first stage.
In the full slump test for sciatica, progressively more stretch is placed on the sciatic nerve but that is best left to an experienced chiropractor.
Micro diskectomy is a far less invasive procedure than normal back surgery; the surgeon is able, using an operating microscope, to remove a part of the facet joint that may be pinching the nerve root and any disc material from under the nerve root.
Under risks, mention is made of recurrent herniations, immediately or later, cerebrospinal fluid leaks due to damage to the dura, nerve root damage, bladder and bowel incontinence, bleeding and infection. The authors assure that these risks are relatively low; quite rare, they exclaim.
How soon should you rush off to the doctor or chiropractor?
It depends. Pain on the left side of the chest? I'd phone the emergency rooms right now. An old niggle in the back that you've had for years? No rush.
Having said that, last week my wife bent over, and twisted to lift a corner of the carpet for sweeping. She felt what she described as "a bottle exploding at the bottom of her back". Not good. She was stuck forwards in what we call an antalgic posture. The sign of Pisa. Because the swelling and inflammation hadn't yet started, the Slump Test for sciatica was negative. But wait three days... and I would have had drama on my hands, in the bosom of the family.
The long and the short of it is that I reduced that bulging disc within three hours of the injury, she spent the rest of the day in bed with an ice pack and doing half-hourly lower back exercises ...
A second treatment two days later, and within five days she is almost pain free during the day, except for prolonged sitting and early morning discomfort. Of course, I'm exhorting her to follow the 50 percent less pain rule. Today we'll start the rehab exercise program.
If there is any suggestion of leg pain muscle weakness then careful testing should be done. The progression from grade 3 to 4 or 5 can be insidious. Herniated disc foot drop.
For more details, Chiropractic Research ...
In normal circumstances, if you wait a few weeks with leg pain before seeking the advice of your chiropractor, you will probably be in for extended treatment.
What's my point? When you know you've done a mischief to some part of
your body then it's better not to wait. Dealing with a disc herniation
when it's become swollen and inflammation has set in, is immeasurably more difficult.
Ringing in the changes before it starts referring down the leg, and the Slump test for sciatica is strongly positive, makes good sense. Likewise if you have a bad dose of bronchitis don't wait for the pleurisy before contacting your doctor.
I see little point in writing a story about Mr John who hurt his back, went to the chiropractor, who performed a miracle and he's again playing championship golf or tennis.
Such things do happen; actually quite regularly. But I prefer to write about the bizarre, funny and tragic things that happen at the chiropractic coalface. For such, I make no apology, take my books for what they are; controversial and fun.
My first three novels have been described by one fan as gems, both funny and healthful, from the life and work of a chiropractor. Such was not actually my intent but he has indeed hit the nail on the head. A patient with a brachial neuralgia turns out to be a blood diamond trader. A woman with acute low back pain is helped to the clinic by her lover, the parish priest.
A head on confrontation with a gynaecologist who refused to accept a referral from a chiropractor because he thought it would be unethical is typical. The reason for the referral is pertinent? An xray of her pelvis revealed an ancient IUD that a previous doctor had inserted some twenty years previously, and couldn't find to remove; titivating stories, you'll love them.
And now a new genre that I and many other people, Christian and those without religion, find difficult; homosexuality. A Family Affair is my take after a ten year search on the subject. Unless you're very straight, you'll love it; promise. It turned out to be so long that it's split into a trilogy; only 99c on Kindle, Nook, tablet or your smartphone. If you find it boring you can demand your money back and you'll get it; all 99c.
The traditional test for sciatica is the straight leg raise of Lasegue. It has certain advantages, and some disadvantages; it complements the slump test for sciatica.
USEFUL LINKS @ Slump Test for sciatica
If you have found these pages at Chiropractic Help useful, then you'll enjoy these anecdotes. Funny, tragic, absorbing stories about the people of Holland and their encounter with Chiropractic.
Stones in my Clog costs only $2.99 on your tablet, Kindle or smartphone.
Interesting questions from readers