Low Back Pain FULL Physical Therapy Evaluation

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Low Back Pain FULL Physical Therapy Evaluation

Рет қаралды 78,169

Dr. Justin Lee, Doctor of Physical Therapy

Күн бұрын

There are 4 parts to a physical therapy evaluation:
1. subjective 0:00
2. objective 9:30
3. treatment 25:19
4. home exercise program/education 28:50
In this video, the patient complains of low back pain. You can see how the PT starts by asking him to describe his back pain.
The subjective physical therapy exam is all about gathering relevant information to help guide testing for the objective exam. After the subjective exam, the PT should have a good idea of what the patient's physical therapy diagnosis is.
*COULD YOU GUYS GUESS WHAT HIS DIAGNOSIS IS?!?!*
The objective physical therapy exam is to gather data to rule in or rule out physical therapy diagnosis' and to find impairments that could contribute to the patient's symptoms. This is where you find out the source tissue of the patient's pain.
The physical therapy treatment is when the PT uses a specific intervention that is appropriate for the patient at their specific time in tissue healing. Some intervention categories include, but are not limited to: manual therapy, therapeutic activity (therex), neuromuscular education, modalities, soft tissue massage, joint mobilization, etc
Home exercise program/education is when the PT gives "homework" to the patient. This is where the PT goes through recommended exercises and teaches the patient how to properly perform them with good technique. This is also when the PT educates the patient on what is going on, how long the healing process will take, what the patient could do to help themselves, and what the plan is going forward with physical therapy.
**This was a "mock evaluation" used for educational purposes.**
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Пікірлер: 78

@drjustinleedpt 3 жыл бұрын

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@chunkaccinoniks6296 2 жыл бұрын

I’m so happy to see my instructor use this video for a patient/client management model discussion for one of my PTA classes! Love your channel! ❤️

@drjustinleedpt 2 жыл бұрын

WOW THAT IS SO GREAT TO HEAR! What class is this and what school is it for?

@johanneseklund4768 10 ай бұрын

Thanks for the awesome instructional video!

@jasminegutierrez4697 3 жыл бұрын

Love how you explained and clarified everything at the end! Such a good job!

@drjustinleedpt 2 жыл бұрын

Ahhh so glad this was helpful!! Thank you ☺️

@natew8896 Жыл бұрын

As an undergraduate considering physical therapy this was an awesome video to watch!

@wenhuiliu5893 Ай бұрын

such a helpful video!

@niharams0820 3 ай бұрын

Such an outstanding demonstration, super helpful ❤

@Dontuseyourrealname134 11 ай бұрын

Such an awesome video

@noahbaihly7397 3 жыл бұрын

Great video, hoping to see more evaluations!

@drjustinleedpt 3 жыл бұрын

Thank you! Which body part were you interested in?

@kaydrapowell7547 4 жыл бұрын

Go Justin!!! Great job

@drjustinleedpt 4 жыл бұрын

Kaydra Powell thanks kaydra!! Do you want more of these videos?

@BruiserBombBash 3 жыл бұрын

This is dope! I can't wait to get into this when I get through PT school.

@drjustinleedpt 3 жыл бұрын

I can’t wait for you to practice this too!!!

@TaiHFishing 4 жыл бұрын

Great stuff!

@drjustinleedpt 4 жыл бұрын

Thank you Tai!

@dafishking3530 2 жыл бұрын

I'm a HHPTA and had LBP the past week an a half after working with a particular patient. As you could imagine, it's difficult to know off the back pathology is causing the pain. This eval was basically to the T of my pain location, and the therex after 1 set of each exercises decreased my LBP from 6 to a 2. Good stuff man. Enjoy the rehab train. It's definitely a workflow I will do well into my 60's.

@drjustinleedpt 2 жыл бұрын

WOW THIS IS SO GREAT! I made this video to educate students what an evaluation would look like, but it turns out it helped someone get out of pain! I’m so glad this was valuable to your my man. Yes I plan on it!

@enlightenSAINT Жыл бұрын

Your videos are so inspiring. I just finished graduating University and I didn’t feel that confident going into PT school but after viewing your video. I believe this goal of mine is achievable you are the spark I just needed. Thank you Doc.

@gayle4067 Жыл бұрын

same t.t i feel like i dont have much skills to be a PT but with this video, it gave me a little push to do something about my insecurity. i hope you achieved your goal! :>

@simonsuh1733 4 жыл бұрын

loved the video. more like this please :)

@drjustinleedpt 4 жыл бұрын

Simon Suh yes definitely! After I start working for a little bit, I’ll be posting A LOT more of these?

@rajchampaneri3377 4 жыл бұрын

this video is amazing! im a college grad looking into getting into PT school and this is so helpful!

@drjustinleedpt 4 жыл бұрын

thats awesome! Im glad you were able to gain value from this video - LETS GO! what DPT school are you trying to go to?

@Djdiukkshgqvp Ай бұрын

I found this video while thinking about becoming a physical therapist. It was a really useful video and a great help in deciding my career path. Thank you so much Dr. Justin!!

@farimangtourayjr2227 4 жыл бұрын

Loved this, we’re learning about low back right now in school and this was really helpful!!

@drjustinleedpt 4 жыл бұрын

ayee!! Im glad man! I'm planning to do one of these for every region on the body. You in? which body region would interest you?

@farimangtourayjr2227 4 жыл бұрын

liftforchange yessir sounds like a great idea. I think knee, ankle lower extremities would be fun to get an idea how you go about the subjective and exam and treatment phases

@drjustinleedpt 4 жыл бұрын

Farimang Touray Jr love it! I’ll keep that in mind! I definitely want to revisit this series

@AMAZNGSHRT 3 жыл бұрын

Doc please make another videos of this but in a strokepatient or neuro assessment

@drjustinleedpt 3 жыл бұрын

I will see what I can do!

@kathycormiersuntanningrebe7870 Жыл бұрын

Orthopedic sent me to physical therapy and she had me bend to the front, backwards and both sides. She told Orthopedic I am more flexible than her and she gave me some at home exercises. I am doing them more than twice a day sometimes while laying bed, but this is routine. I remember when I first moved in with my bf, I did not realize I woke him up but found him sitting up looking at me. I was in the yoga shouder stand. He told everyone about that one. But I am doing the exercises the PT gave me and the Orthopedic told me to keep on doing them until I go get my MRI. Either a set of nerves or set of muscles on each side of my back not firing according to the EMG results.

@user-fi8tl6mu4q 2 жыл бұрын

Nice video! Very deliberate and clarity treatment session!! Can i share this video to inform the importance of decision making in south korea?

@supravakaran6604 3 жыл бұрын

Thank you so much for this video ..your thorough assessment really helped me a lot...plz make a video on a patient having LBP with radiation of pain down the lower limb. And what will be the management then???

@drjustinleedpt 3 жыл бұрын

Thank you so much for sharing your feedback! I am glad this video was Toro and helped you clinically understand the physical therapy examination. I will put that on the list and see what I can do!

@saharm4030 2 жыл бұрын

Can you explain the question about (timing of pain with standing) what does it indicate both ways?

@noopurjain4670 Жыл бұрын

Which technique did u use in the treatment part?? Is it mobilisation of the facet joint??

@mrmusawarvlogs9640 Жыл бұрын

Sir I am watching u in 2023 believe me it's help me a lot ...I am DPT 3rd year student

@terrickhuang7626 Жыл бұрын

sharp means nerves might get pressed cuz of minor dislocation of lumbar discs, looks like L4-L5

@BH_Restorative_fitness 2 жыл бұрын

Really awesome video. I love these case studies. I just have a couple questions. 1. Is there a reason for why you didn’t check his FABER/ or Fadir test. 2. For his home exercises I saw that you you gave him a cat/ camel. From my knowledge it only stretches the annulus fibers of the low back. Is this a short term fix, or will it carry over for the long term. 3. Final question. Would the McGill big 3 be used later in the treatment process or is it not appropriate for this client. Thanks so much for your help. These videos are amazing. You got my sub.

@brennancumberbatch1571 Жыл бұрын

Great questions...and I believe the cat/camel is introductory.

@happytown5 Жыл бұрын

would a typical eval last this long in your clinic?

@ss-uz6kg 2 ай бұрын

Hello sir teh diagnosis i feel is rt lumbosacral strain with flexion bias..pls correct me if i am wrong...reason being thoracis dec rom, weak core, tight hip flexor n weak hip extensor ..n flexion relief pain n extension increases pain

@SkiWithJoeDPT 4 жыл бұрын

SPT Here - This was awesome. Doesn't it suck that we have to walk to the other side of the table when a patient goes prone? Almost got me in a practical...

@drjustinleedpt 4 жыл бұрын

WHAT UP JOE!!! Hahaha yesssss I mean I understand, its body mechanics and making sure you as a PT is also in a good position to treat, but I do sometimes get lazy..... LOL What program are you at?

@SkiWithJoeDPT 4 жыл бұрын

@@drjustinleedpt 1st Year at U of Minnesota! So no light at the end of the tunnel anytime soon. Congrats on graduating soon and keep making awesome content! Best PT channel I've come across.

@drjustinleedpt 4 жыл бұрын

Joe Kagan dude thank you so much joe!! That means a lot to me dude. You know what, I actually don’t have your school featured. DO YOU WANT TO REPRESENT YOUR DPT PROGRAM IN THE STUDENTS SPEAKS SERIES?!

@SkiWithJoeDPT 4 жыл бұрын

@liftforchange I'd be happy to! I'm also the APTA core ambassador for MN - Happy to speak to that as well!

@drjustinleedpt 4 жыл бұрын

Thats dope!! talk about that too! Could you send me your email so I could send you more info? if you dont feel comfortable putting it here on youtube, you could email me: liftforchange@gmail.com Thank you so much!!!

@shyragalvez3537 4 жыл бұрын

Can you discuss the rule in and rule out ?

@drjustinleedpt 4 жыл бұрын

I definitely can! I am posting part 2 on Monday (objective exam) that talks about it a little more, but i will definitely be making a video on that subject in the near future. But in short, there are special tests or a cluster of special tests that help you either rule in or rule out certain diagnosis. And you perform these special tests in the objective exam (part 2). Hopefully after watching part 2, you will have a better understanding of what that means. But if you dont, dont be afraid to ask!

@jasonparker5406 3 жыл бұрын

That guy looks pretty young for a retired teacher. Must have some good 401K/Roth IRA tips :)

@drjustinleedpt 3 жыл бұрын

HAHA! yeah I was treating a millionaire haha These young guys are getting rich fast!

@johnutube5651 3 жыл бұрын

@@drjustinleedpt Anyone could figure out, this is your classmate. This is a mock practice session, clearly pretends as a retired teacher

@drjustinleedpt 3 жыл бұрын

@@johnutube5651 LOL yes, clearly this is my classmate and this was for educational purposes

@sanjivbhandari6510 3 жыл бұрын

I have also a back pain but its left side middle of back and its sharp pain cant even move and sit turn its hurt alots 😔😔its worse what can be done to cure this

@drjustinleedpt 3 жыл бұрын

I’m sorry to hear about your back pain Sanjiv. It seems like you’ve injured it to a point where it’s affecting a big part of your life. How did you hurt it? What movements irritate it the most? If your pain is constant and you can’t even sit or turn, I would try to find a position that irritates it the least first. You have to control the pain/inflammation first. Have you considered sitting with a pillow behind your lower back?

@a77d6 3 жыл бұрын

@@drjustinleedpt I have the same pain am 15 and I was working on my leg/abs and it started hurting and it still hurts, what am i suppusod to do ?

@drjustinleedpt 3 жыл бұрын

@@a77d6 hey I would recommend seeing a doctor since it’s so aggravated. It’s been a week and no progres. Can you get seen by a doctor soon?

@a77d6 3 жыл бұрын

@@drjustinleedpt no its all good now I stoped working out for 4days and and I tried to do the exercises in the video as much as a I can everyday And it really helped

@drjustinleedpt 3 жыл бұрын

@@a77d6 that’s awesome!! I’m glad this has helped you!!!

@Wake06Forest 3 жыл бұрын

How is this dude retired lol

@drjustinleedpt 3 жыл бұрын

Haha this was a “mock evaluation”

@burburchacha 16 күн бұрын

what's the patient's IG? asking for a friend.....

@SS-qf2po 2 жыл бұрын

Way too many questions in the beginning focused way too much on the pain instead of just getting to the treatment.... A lot of the questions were superfluous... Unnecessary... Dribble... But that's how students are trained... In reality you just get right to the basics.. and go!

@drjustinleedpt 2 жыл бұрын

You right!!! For the educational purposes tho.. it’s got to be said! Haha thanks for the feedback!

@InstiGator805 3 ай бұрын

Read the title next time? How are you gonna get to the treatment if you don't know what caused the pain?

@Alexandra.OsteoPilates Жыл бұрын

The worse questions, assessment and “treatment” I have ever seeing.

@drjustinleedpt Жыл бұрын

What questions would you have asked?

@Alexandra.OsteoPilates Жыл бұрын

@@drjustinleedpt First of all I would never use the word pain on my assessment or treatment. People already come to us with so much catastrophizing attitude...