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Observe the patient standing. Look initially from behind the patient for any obvious muscle wasting, asymmetry, or scoliosis of the spine. Look from the side for normal cervical lordosis, thoracic kyphosis, and lumbar lordosis.
Ask the patient to lean forwards: tenderness between the spines of the lumbar vertebrae and at the lumbosacral junction and over the lumbar muscles may occur with prolapsed intervertebral disc and mechanical back pain. Check for tenderness over the sacroiliac joints.
The McKenzie Method® Accurately understand the patient's presentation and behaviour of symptoms. Determine the most appropriate and effective treatment plan. Eliminate symptoms and restore full function. Empower the patient to self treat and prevent recurrences.
The McKenzie Method is a biopsychosocial system of musculoskeletal care emphasizing patient empowerment and self-treatment. This system of diagnosis and patient management applies to acute, subacute and chronic conditions of the spine and extremities.
The McKenzie assessment consists of taking a patient history and performing a physical exam. Both are used to gauge the degree of impairment as well as identify any red flags that might be contrary to exercise-based treatment (e.g. fracture, tumor, infections, or systemic inflammatory disease).
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In a physical exam of the spine, the doctor will look at your back and feel your spine. He or she will be looking for abnormalities. The doctor will observe your posture, range of motion (how well and how far you can move certain joints, and physical condition.
Prone Position. Used to examine spine and back.
X-rays can reveal vertebral (spinal column) problems, tumors, fractures or degenerative changes in the spine. CT scan. A CT scan can provide a clearer image of abnormalities seen on X-ray. This scan uses computers to form a series of cross-sectional images that can define bone, disk and other problems.
The McKenzie assessment consists of taking a patient history and performing a physical exam. Both are used to gauge the degree of impairment as well as identify any red flags that might be contrary to exercise-based treatment (e.g. fracture, tumor, infections, or systemic inflammatory disease).
If the pain you feel extends to your arms, forearms, and hands, the source may be your cervical spine. On the other hand, if you feel the pain radiating to your legs, it may be a problem with the lumbar spine.

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