Lhermitte's Sign | Multiple Sclerosis / Myelopathy / Dorsal Column Disturbance
Vložit
- čas přidán 25. 08. 2024
- Enroll in our online course: bit.ly/PTMSK DOWNLOAD OUR APP:
📱 iPhone/iPad: goo.gl/eUuF7w
🤖 Android: goo.gl/3NKzJX GET OUR ASSESSMENT BOOK ▶︎▶︎ bit.ly/GETPT ◀︎◀︎
This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. A positive l'hermitte's sign results in a shooting electrical type sensation running down the spine possibly extending into the extremities and could indicate multiple sclerosis, myelopathy and other conditions affecting the dorsal spinal column.
🚨 HELP TRANSLATE THIS VIDEO 🚨
If you liked this video, help people in other countries enjoy it too by creating subtitles for it. Spread the love and impact. Here is how to do it: • Video
👉🏼 SUPPORT US 😊 : bit.ly/SPPRTPT 👈🏼
ARTICLES:
www.ncbi.nlm.n...
Visit our Website: bit.ly/web_PT
Like us on Facebook: bit.ly/like_PT
Follow on Instagram: bit.ly/IG_PT
Follow on Twitter: bit.ly/Tweet_PT
Snapchat: bit.ly/Snap_PT
Saw a patient that presented with this exact finding. I didn't know what to make of it but now it strengthens my MS suspicion.
As a person living with MS, i can only manufacture the lhermittes sign/electric shock feeling in standing position, usually if i am walking or moving an arm around too. Nothing happens if i lean my chin down while in sitting position.
It is a horribly painful sensation and i wouldn't wish for anyone to experience it, not ever.
Aside from the obnoxious loud, unnecessary noise at the beginning, these videos are great, to the point.
true
Thank u sir for short and clear explanation.I follow all ur vedios n they r very easy to understand.Glad to have such tutor's.
I had this exact sign going on before I had any medical knowledge. Unaware of the possible dangers I went on a mountain warfare course in Norway. After 6 weeks of carrying a 30kg backpack over mountain tops it was gone. Haven't felt it since. Made for quite a good story in physiotherapy school.
The statistical values are very poor. So it can be very probable that you experience the Lhermitte sign but don't have a pathology of the dorsal column. It's just a screening test to help your decision making when the patient reports clinical symptoms that fit within a pathological pattern.
Still I wonder what the action of the gp would be if I would have seen him..
Thanks for the response!
@@Physiotutors i just had the Lhermitte sign 6 weeks ago for the first time in my entire life. It coincided with my Modena booster shot. It only lasted for two hours but it was very scary. When I was putting my chin in my chest I was getting electrical shots in my head and my arm. It went away and I thought nothing about it. Now I read about MS and I am very scared I might have it.
@@diana1711 hey did you ever figure out what was going on or did it never come back
@@PrettiPetty24 no, it never came back. It was probably a side effect from the vaccine. And the shock was in my head and face also. With lhermitte it’s down your spine so I guess it was something else
I'm pretty positive I have this issue. It did it the 1st time when I was 41 years old and now that I'm almost 43 it's done it about 15 times. It's an intense lightning bolt shock pain that runs down below my ear down the side of my neck into my shoulder it comes and goes within 2 seconds but it is quite painful. After it happens I get anxiety over it and can't stop thinking about it. I also have pretty low grade chronic muscle pain. I am a physical person and I eat a primarily plant based diet
How primarily is primarily?
Iirc the RDA for iron is 8mg for men and a cup on spinach is only 0.6mg. But if you get iron from non-heme (plant based) sources you actually need to increase your RDA by 1.8 times.
This means most plant based diet are iron deficient if you don’t supplement. Iron deficiency can contribute to nerve issues.
Any update?
Thanx a lot sir you explain very shorlty and nicely..
Glad you like it Sneha and thans for following!
Thanks for this work , you just save my ass in exam 😂😍
That's our goal Ameer! Glad we could help!
little tip: the name is Lhermitte sign, not L'hermitte since it takes the name from a French doctor
Uf, never noticed that! We will correct that!
I’ve felt that shock sensation when I do an intense stretch, not by moving my head down. Could that sensation be normal if you are stretching? I am worried I have early signs of MS but I have pretty bad anxiety so I’m probably overreacting
Hi, it happened with me today, I was also facing huge anxiety but this is normal just do massages regularly
Great video although I had a doubt. The orthopaedic assessment textbook of Magee suggests the patient to be in long sitting position while both the head and one of the hip joints simultaneously resulting in shock-like pain. Any reason y'all performed the test in standing and without the hip flexion?
Very much wondering where Magee took this description from as it seems that they are performing something similar to the slump test in the book. The reference they use links to another book instead of an article.
All descriptions we found only involve neck flexion. Here is the most recent link: www.ncbi.nlm.nih.gov/pmc/articles/PMC4445188/
@@Physiotutors Yeah it looks like the modified slump test (ST4) for spinal cord and nerve roots but that test doesn't involve raising the hip into flexion simultaneously like the way they've shown in the L'hermitte test
Anyways, I shall see the link you sent me. Thank you for the quick and informative response and keep making amazing videos guys! Loving the channel!
Glad to hear! We always try to show the test how it is originally described
These videos are very helpful 👍👍great work
Happy to hear Kaniz! Thx for following!
Hi, machen Sie Videos in deutsch?
Great
cheers. thanks.
Ur welcome Mitch!
I love the music in this vid!!!
handsomeness definition