History and Physical Examination for Interventional Pain Physicians

Explore the principles and practice of performing thorough histories and exams that yield actionable insights.

This streaming video set includes the following lectures on the evidence and step-by-step demonstrations of how to perform 21 key examinations:

• Strengths and Shortcomings of Physical Examination

• Inspection, Palpation, ROM of Lumbar and Thoracic Spine

• Special Tests for Lumbar Zygapophysial Joint Pain
   • Extension Rotation Test

• Neurological Exam of the Lower Extremities and Special Tests for Lumbar Radicular Pain
   • Straight Leg Raise
   • Seated Slump Test
   • Femoral Stretch Test

• Clinical Examination of Pelvis, Hip, and Sacroiliac Joint
   • Thigh Thrust Test
   • Gaenslen’s Test
   • Distraction Test
   • Compression Test
   • Sacral Thrust Test
   • Patrick's / FABER Test
   • FADIR Test

• Inspection, Palpation, ROM of Cervical and Thoracic Spine

• Special Tests for Cervical Z-Joint, AA, and AO Joint Pain
   • Extension Rotation Test
   • Paraspinal Tenderness Test / Manual Spinal Exam
   • Palpation, Motion Testing
   • Cervical Flexion Rotation Test - Seated
   • Cervical Flexion Rotation Test – Supine Option 1
   • Cervical Flexion Rotation Test – Supine Option 2

• Neurological Exam of Upper Extremities and Special Tests For Cervical Radicular Pain/Radiculopathy
   • Spurling’s Classic Lateral Bend Test
   • Spurling's Modified / Maximum Foraminal Compression Test
   • Spurling’s Self Test
   • Neck Traction Test

• Physical Examination of the Shoulder

Speakers
David J. "D.J." Kennedy, MD Professor and Chair, Department of PM&R, Vanderbilt University Medical Center
Nashville, Tennessee

Edvin Koshi, MD Halifax Spine and Pain Institute
Halifax, Canada

Joshua Rittenberg, MD Clinical Associate Professor, Stanford University
Oakland, California

Matthew Smuck, MD Chief, Physical Medicine & Rehabilitation; Professor, Orthopaedics; Director, Wearable Health Lab, Stanford University
Stanford, California

Special Thanks to Test Demonstrators
• Mamie Air, MD
• Shannon Chain, MD
• Joshua Rittenberg, MD
• Amy Strouse, DO

© 2021 International Pain & Spine Intervention Society – All Rights Reserved
Materials presented in this activity have been made available by the International Pain & Spine Intervention Society for educational purposes only. IPSIS reserves all rights to such material.