The straight leg raise, also known as Lasegue's test, gives a good objective measure of how the patient is responding the attending doctor should be able to raise the leg higher and higher before the pain begins if the patient is responding well to the treatment. The treatment is directed at reducing the bulging disc. Medicine tends to view sciatica primarily as an inflammation, so the treatment most commonly recommended is anti inflammatory drugs.Ĭhiropractic on the other hand sees this as something mechanical, more akin to torn ankle ligaments or even a broken bone. NSAIDs for a broken limb is not the treatment of choice, though there may be inflammation. All of this can be very traumatic for the patient in severe pain.Ĭhiropractic help attempts to treat the cause of the pain. If the patient is standing, he is asked to sit, then gently lie on his side, and roll onto the back. The straight leg raise test is for sciatica. Clearly a SLR of 10 degrees is more severe than 50. The sciatic nerve has five roots L4, L5, S1, S2 and S3.Īn angle is used to designate at what level the pain begins clinical notes should state clearly if the restricting pain is in the lower back, the leg, or both. However, on examining the patient at home, where he will almost certainly be lying down, Lasegue's is more usually the test done for sciatica. Both should really be done, but a full and thorough examination of the patient in very severe pain will often worsen the symptoms.įor this reason, the Slump test for sciatica is often the clinician's first choice in the clinic it is less traumatic to test the sitting patient.
It is done in conjunction with the Slump Test which is done sitting producing slightly different and sometimes mystifying results. Nevertheless, it's equally appropriate for the patient with low back pain only, or primarily leg pain. It is used for the patient suffering primarily with acute lower back pain that radiates down the back or outer side of the leg, sometimes affecting either the side of the foot, the sole and the great toe area.
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