<<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