Examination of Low Back Pain Periprocedural Care

Updated: Apr 17, 2017
  • Author: Bradley J Sandella, DO, ATC; Chief Editor: Vinod K Panchbhavi, MD, FACS  more...
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Periprocedural Care

Pre-Procedure Planning

Prior to patient contact, the physician should properly wash his or her hands. To complete a proper lumbar spine examination, the physician should be prepared to examine not only the low back but also bilateral hips and both lower extremities.

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Equipment

The examination room needs to be spacious to allow for the patient to move freely. It should also contain a full-length sturdy examination table that will allow the patient to sit comfortably and to lie prone and supine. In addition, a stool on wheels will allow the physician to move easily around the room. The physician should be equipped with a measuring tape, goniometer, and reflex hammer.

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Patient Preparation

Proper patient exposure is critical to any musculoskeletal examination, including evaluation of the spine. Shoes, socks, shirt, and pants need to be replaced with examination shorts and t-shirt or an examination gown. The patient should be given an additional sheet for leg coverage.

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