In this episode, Dave shares a detailed lower back pain case history and  takes specific questions from the audience in the journey to a diagnosis This is a fascinating insight into the approach that begins from the moment the clinician meets the patient through to the treatment journey and the factors that influence recovery   KEY TAKEAWAYS Whatever your discipline the tenets are the same when you talking about pain As osteopaths and chiropractors, we are talking the same words just in a different language A disc doesn’t have to present with radicular symptoms initially Back or cervical disc issues have to be considered When the range of motion is restricted isolating the areas and specific groups of muscles, joints and nerves can help with the diagnosis If the specific pain is on a full extension this is a classic sign of a set joint irritation If you experience pain over a period of time fear avoidance can become a part of the individual's experience The biggest test can be the basic test of ‘poking it’ Everything is testing and a provocative test can be seeing the patient coming into the room A test doesn’t have to have a name and make it onto your notes   BEST MOMENTS ‘The basic tenets of good care should be what you are going by’ ‘Identifying which one is the head honcho and ruling the show is what we are looking for’ ‘Your provocative test starts when you greet that patient’   THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/   VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ    ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram    Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter   SOCIAL MEDIA LINKS Instagram Twitter Facebook                         Support the show: https://thebackpainpodcast.com See omnystudio.com/listener for privacy information.