The Slump test is a great test for someone with a nerve injury. I do it on every LBP/radic patient. BUT, When someone has SI Jt dysfunction, a lot I find, say yes that hurts my back, but when you ask them to point where, they point to their SI joint. Perform my SI diagnostic method and realignment and recheck the Slump test, a lot of times my patients have a negative Slump Test because when you performed hip flexion you were shearing their SI causing pain. Don’t get tricked! Please read my FREE SI paper with diagnostic, realignment procedure and protocol https://www.medcentral.com/pain/spine/low-back-pain/root-cause-sacroiliac-joint-dysfunction-four-step-exercise-protocol

Pt. Presented with history of chronic low back pain. Recent trauma/fall, couldn’t stand up. History sounded like back spasm with acute SI joint/sacral torsion and shear at first. Until I asked, “Have you had any bowel and bladder dysfunction?” He said yes 1.5 weeks ago after the trauma he twisted and defecated on himself hasn’t happened since. He was shocked. No weakness in his legs. I said I need you to see a spine MD ASAP. I said if it happens again or weakness in legs go to ER ASAP. Every LBP eval I ask/screen 1. Bowel/bladder dysfunction 2. Myotome weakness 3. Saddle Anesthesia 4. Hx of recent trauma I have now caught Cauda Equina Syndrome 6x in my career (assuming this was the 6th). Once the patient had seen the appropriate specialist and the questions were not asked. Have you caught CES before? Comment below…

Pt. presents with: LBP B LE numbness, balance instability genital numbness myotomes 5/5 L2-S1 B MRI showed mild diffuse disc bulges in L-spine Comment your diagnosis below...

Let us know who you are what and what profession you are in if you’re comfortable sharing. If you’ve been using any of my methods, let me know how they’re going.