The reason you haven’t heard much from me over the past couple of months is that I was involved in a car accident on September 17th. I was sitting at a red light when someone rear-ended me. I suspect the driver was distracted because I never saw it coming and had absolutely no time to brace myself. Interestingly, I didn’t experience much of the typical muscular strain you might expect with a car accident. Instead, I felt the impact immediately in my lower back, where I had the lumbar support positioned against my spine. My concern was that the force had affected the ligaments and intervertebral discs. I was particularly unhappy because something similar happened to me about 20 years ago, and I ended up being out of work for approximately six months. That very night, I started experiencing sciatica down the backs of my legs. Over the next week and a half, things progressively worsened. I developed such severe neural tension in both lower extremities that I couldn’t fully extend my knees while walking. My hamstrings felt like they were constantly being pulled, and walking became extremely difficult. Then something else happened that really caught my attention. Approximately nine days after the accident, I flexed my cervical spine forward and suddenly developed tingling, burning, and a profound sensation of heaviness in both upper extremities, including symptoms along the C8 distribution. My arms literally felt like they weighed 100 pounds! As clinicians, we know that bilateral upper-extremity neurological symptoms following cervical trauma raise concerns about potential spinal cord involvement. I immediately assessed my myotomes, which fortunately remained 5/5, but the neurological symptoms were significant enough that I decided to obtain MRIs of both my cervical and lumbar spine. Here’s what the imaging revealed: Lumbar MRI: - Posterior disc protrusion at L5-S1, abutting the thecal sac. - The radiologist described the disc as “approximating” the right S1 nerve root. - This correlates with my predominantly right-sided radicular symptoms, although I also experience neural pain and tension down my left leg.

Help! My kid has acute tendinitis of ankle and I am trying to figure out how to tape a posterior glide of TC Joint If you know comment below so far I have learned leukotape is great for hair removal!

I have rehab protocols I have used for years, they are pretty predicable for me in my practice in terms of length of treatment and effectiveness. When I put a patient in pain during a rehab the whole thing takes longer. With the exception of frozen shoulder and total knee replacement rehab (you have to bend the knee) I NEVER put patients in pain. Thoughts? Comment below...

Patient presented with LBP and L LE radiculopathy after lifting at gym 2 weeks ago, went to ER and was cleared and sent home. I asked do you have bowel and/or bladder dysfunction, saddle anesthesia? No, she said I then tested her myotomes and L4 and L5 were weak. I said you need to see a spine ortho MD they will probably want to get an MRI. Part of being a good ortho primary care provider is knowing when to refer out!

Just based off this history comment your diagnosis. Long history of low back pain with intermittent R thigh pain, constantly in and out of ER's. MRI grade 1 spondy. The patient cannot sleep, hurts to get up from chair, can't sit for greater than 45 mins. Has seen numerous providers including Ortho, chiropractic and others Comment below, GO!