Physio Charlie

Myself and my senior went over Lx Ax today.  Interesting learning points were:

1.  Cross over sign for a space occupying lesion: nerve impingement from a disc will give this sign

2.  Mckensie progressions: Pillow under pelvis prone, without pillow, prone on elbows, or use supine supported hip and knee flx on a chair

3.  Lx Trx using a seatbelt in supine hip and knee flx on a chair.

See Acute Low Back Pain Problems in Adults: Assessment and Treatment: http://www.chirobase.org/07Strategy/AHCPR/ahcprclinician....