Patients usually complaint of diffuse buttock ache with different severity. The slump test which involves forward bending of the neck and upper body while straightening the leg in a seated position, may reproduce the buttock pain. Positive slump test is an indication of increased neural tension due to nerve damage or secondary to lumbar spine abnormalities. However, a negative slump test does not rule out the possibility of referred pain from the lumbar spine.
Areas of tenderness and intervertebral segments with restricted motion may be noted upon palpation of the lumbar spine. The segmental range of motion can be restored by mobilization or manipulation of the lumbar spine. The signs and symptoms can be reassess immediately after treatment or prior to next treatment to rule out referred pain from lumbar spine abnormalities.
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