Table 1 Typical presentation of an acute lumbar facet syndrome according to the 34 chiropractors participating in the structured group discussion.
Location | |
|---|---|
Local | 7 (100%) |
Ipsilateral | 7 (100%) |
Possible referred pain no further than the knee | 4 (57%) |
Sclerogenic | 1 (14%) |
Severity | |
Severe | 3 (43%) |
Moderate | 2 (29%) |
Variable (both between and within patients) | 1 (14%) |
Mild to severe | 1 (14%) |
Full range (mild to excruciating) | 1 (14%) |
Aggravating factors | |
Extension | 4 (57%) |
Prolonged standing | 3 (43%) |
Rotation | 3 (43%) |
Sudden movements | 2 (29%) |
Worse after rest | 2 (29%) |
Ipsilateral lateral flexion | 1 (14%) |
Getting up from flexion | 1 (14%) |
Movement in general | 1 (14%) |
Relieving factors | |
Walking | 5 (71%) |
Lying with knees bent (supine or on the side) | 4 (57%) |
NSAID | 3 (43%) |
Supported flexion, (resting on hands or elbows) | 3 (43%) |
Ice | 2 (29%) |
Short rest | 2 (29%) |
Rest | 1 (14%) |
Avoid aggravating factors | 1 (14%) |
Contralateral lateral flexion | 1 (14%) |
Varying activities for brief periods | 1 (14%) |