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Chiropractors in Perth | Chiropractic Assessment

Muscle strength testing – nerve interference, arms, legs, ankles

Chiropractic Adjustment

At Perth Sports Injury Clinic our Perth chiropractor assessments use muscle testing to determine the nerves innervation’s to muscles and which are then compared with strength on both sides of the body. Neurological innervation of muscles is often intact and not affected by generalised mechanical muscle and joint problems, they can also be managed well with chiropractic and physiotherapy in most cases.

For the upper and lower body we ask you to push against our hands at varying angles to test lower and upper extremity muscle strength. We do this because nerve interference can influence muscle firing patterns and hence muscle strength.

Numbness and tingling, sensation, sharp and dull sensation to pain and stimulus

We’re able to determine the health of your external sensation with responses to sharp and dull sensation elicited with a paper clip for (sharp) and a cotton bud for (soft).

We obtain important information relating to the feedback loops within the central nervous system with specific Reflex testing. We look for any patterns, differences in speed and compare sides for knee jerk, ankle jerk, triceps and biceps responses among others.

Subjective symptoms of pain and other feelings including sensation – the true cause and location of pain

Chiropractic assessment, neck stretching

Your own feeling of pain, stimulus and feelings of a wide range of symptoms including pins and needles, tingling, sharp /stabbing pain, dullness and achy feelings are compared to objective chiropractic findings to help us locate the area of concern.

Referred pain

When there is an abnormal sensation or feeling of pain or other stimulus there may be a myriad of causes. Chiropractors try to determine where the pain is coming from by using specific orthopaedic and motion movements which show the location of the pain. Our joints and muscles can mimic nerve pain when they are tight and restricted from moving in their proper way.

Disc model

Radiating pain from osteoarthritic changes in the neural canal/spinal canal diameter, bulging discs.

Sometimes the altered sensation pain we experience may be from nerves being compromised by osseous extensions or extra bony growths as seen with degenerative arthritis. Sometimes the sensation can truly be altered with accompanied loss of muscle strength as seen from bulging discs.

Testing your ranges of lower back movements

Forward bending may be reduced, with only minimal movement available before pain and stiffness locks the pelvis. It’s easy to check your own range of movement and whether it’s improving on its own with lateral bending.

Vertebra photo

Choosing one side of the body to test first and with hands sliding down the one side of the thigh with the fingers pointing towards the feet can help to build a picture of where the pain is centered. You can try this yourself and remember to keep both feet flat without bending the knees or lifting the foot off the ground on the opposite side. Lifting the feet off the ground when bending laterally to may give a false impression of foot and slowly pull one leg towards you (like a hamstring stretch).

Sciatica, slipped disc, numbness, tingling, weakness, foot and leg pain- the straight leg raise (SLR)?

A widely used nerve tension test which is used the world over by health professionals is called the straight leg raise or (SLR).

What does a chiropractor use a straight leg raise for and what does a straight leg raise show?

Passively raising one of the patients straight leg from the table may cause radiating pain, weakness or altered sensation which radiates down the course of the sciatic nerve into the lower leg, ankle and foot. Pain or altered sensation before the straight leg gets to seventy degrees and which radiates down the sciatic nerve can indicate a more serious cause of pain.

Radiating pain along the course of the sciatic nerve before the straight leg gets past seventy degrees can be due to disc or nerve problems and require immediate referral or direction to a specialist or further testing. Chiropractic lumbar spine adjustments are not indicated if during this stage of assessment a positive straight leg raise response is obtained. No chiropractic lumbar spine adjustments for treatment are indicated until a disc bulge is ruled out with an MRI/CT.

Testing your own level of back pain, nerve interference, response – the straight leg raise test

This is a passive nerve tension test and therefore you should not actively lift off the leg, it should be done by pulling on a scarf, towel or other object which enables passive movement of the leg (without you using your core, low back or leg muscles). Lying on your back with both legs straight and without bending the knees use a towel wrapped around the leg while raising it up towards the ceiling/sky. If it’s too painful Stop immediately and not if there’s radiating sharp, dull sciatic pain before your straight leg gets to seventy degrees.

If you have been to see other chiropractors in Perth without results — give our office a call! At Perth Sports Injury Clinic we can help you get the results through chiropractic care, physiotherapy, massage, nutritional consultations and more!

Chiropractic treatment for back pain can be effective and safe once your assessment has been finalised and your chiropractor is happy that the back pain can be managed with our care.