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afya
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Joint'' pin point, on standing, walking long distance - Ipsi lateral not down leg ''Muscle'' covers large area, improves with gentle mvt, - Contra lateral, not down leg ''Nerve'' Disc prolapse - younger, unilat, Sx down leg, may develop over few days, dec flexion+reflexs+sensation+power Stenosis - older, worse with standing, eased if slumped (over shopping trolley) ''Exam'' Observe posture and gait (walk on toes S1, on heels L5) ROM Lspine slump - myotome, dermatome, reflex check hip palpate while sitting ... ||myotome|dermatome| |L2|lift knee up|| |L3|lift lower leg up|thigh| |L4|bend feet up|knee| |L5|bend big toe up|shin| |S1|evert foot|lateral ankle| ''Mx'' surgery for leg Sx NOT for back Sx Xray seldom useful MRI if red flag or contemplating surgery note pain may start to settle over 6-12/52 and expected to do so over 3-6/12
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