Spinal Diagnosis Information From Sasa

PATTERN 1 - DISCOGENIC

 Back dominant
 Constant pain
 Walking is better than standing, and standing is better than sitting
Worse with…
… Sitting
… Bending forward

Better with…
… Standing
… Walking

Treat with…
… Extension

PATTERN 2 - FACET JOINT

 Back dominant
 Intermittent pain

Worse with…
… Standing
… Walking

Better with…
… Sitting
… Leaning forward

Treat with…
… Flexion

PATTERN 3 - NERVE IMPINGEMENT (SCIATICA)

 Leg dominant
 Worse on any movement

Worse with…
… Flexion
… Extension (when acute)
Better with…
… Single position of comfort

Treat with…
… Identify a position which provides relief
… Spend 10-20 mins per hour in this position
… Encourage activity in-between

PATTERN 4 - SPINAL STENOSIS

 Leg dominant

Worse with…
… Standing
… Walking

Better with…
… Sitting
… Leaning forward

Treat with…
… Flexion
… Strengthening of abdominals/core