Sciatica Types - Differential diagnosis Osteopathy approach

Jul 21, 2012, 09:57 AM

Disc or Traction mechanical Sciatica ? It is KEY to diagnose accurately as to which one the presenting patient has, as the treatment and advice are entirely different. #back #disc #muscle #osteopathy #prolapse #Sciatica #spine

 Case History

During your initial consultation, we’ll look at how your symptoms started and what makes them fluctuate – completing a case history form.

We will then take your medical history and examine you to assess your posture, structure and function

We will also explore your quality of sleep, how your digestion is working and review your lung function.

Do you suffer headaches? Have there been episodes of dizziness?

 Have you had any major injuries or X-rays or MRI scans?

Past illness, surgery or injury cause changes that may have long term consequences on the quality of muscle and joint function of the body

 Evaluation 

We may need to see your Lower and Upper body to assess your function more completely, so wearing underwear you are comfortable with is best – (shorts are an option). (We offer a blanket or towel on request too.)

We conduct a ‘Standing’ examination to assess your active spinal and muscular function and you will be asked to bend in different directions as far as you are ‘able’ to comfortably

We may add a Dynamic Squat or Lunge tests test. as well as other orthopaedic tests– This will help inform us of off areas that we might treat safely.

We’ll look broadly at aspects of your lifestyle to help us gauge the right treatment and advice. What stress levels are you under at work might be something we explore to gain a more complete picture of your health.