I would get all the tests you suggest if someone would do them. I agree with you, the a totally assessment is the way to go. If only I could find someone who would do it.uprightdoc wrote:Nobody wants to work too hard. Treating complex cases with neurodegenerative conditions requires a great deal of time, knowledge and expertise. It's easier for medical doctors to compartmentalize cases into diagnostic categories so they can fit into fifteen minute office visits that require no thought and minimal examination skills. It's easy to write a prescription and you don't go home physically tired. Lazy chiropractors prefer to ask the occiput, the feet or the muscles for answers to questions they don't know and knowledge they don't have and are unwilling to learn. The problem is that the list of possible answers they can get from asking the occiput, feet and muscles are limited by their knowledge. I prefer to spend my time pouring through a patient's case history and doing a thorough exam.
A sacroiliac block test is a poor and very limited way to examine the lumbar spine, pelvis and femur complex. The pelvis should be examined standing (if possible), seated, supine and prone. All the standard orthopedic test should be performed. The pelvis should be thorought palpated for tender points in the ligaments and mucles. Muscles of the thighs, hips and legs should be tested. X-rays are also required. They should be taken standing if possible.
He had no comments. I think my reflexes are almost none existent. What basic X rays would you need? And I will relay the info to my doctor.uprightdoc wrote:I don't know if it is logistically possible, but if I had a detailed case history and some basic x-rays of the spine I would be willing to do an evaluation myself.
Did your GP make any comments about your reflexes? Are they brisk or slow etc.? Do he notice any abnormal reflexes?
I remember Babinski from high school biology, but what are all these other signs? I know I have lots of Babinski on the left and I wish I could intentionally curl the other toes upward. It's all part of foot drop, if I am correct in thinking your reference to the inner adductors is the calf muscle on the groin side, as that is the one of mine that is almost gone from atrophy. It is responsible for dorsiflection. I have used those walking-assisting electro-simulators and they successfully dorsiflect my foot. But the nerves are on the opposite side from that muscle so I wonder if I am using it or not. The point being if I cannot do it intentionally I would like to restore some of that muscle electrically if I can. Is this what is going on, or would I need an implant on the inside calf to get to the right nerves, because they are deeper under the muscle? I am unclear on why the nerves are placed where they are.Babinski, Oppenhiem, Chaddock and Hoffman signs as well as clonus
uprightdoc wrote:I don't know if it is logistically possible, but if I had a detailed case history and some basic x-rays of the spine I would be willing to do an evaluation myself.
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