Straight Leg Raise (SLR) or Lasegue test for Sciatic nerve pain (Sciatica)

www.johngibbons...
John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and is demonstrating how to perform the straight leg raise (SLR) or Lasegue test for the sciatic nerve (tibial and peroneal component) and is called Sciatica. John shows you in his other neurological videos to assess the nerve root level of the adductors (obturator nerve through L3 reflex), patella tendon (femoral nerve through L4 reflex), semitendinosus (tibial / sciatic nerve of L5 reflex) and Achilles / plantar (tibial nerve of sciatic through S1 reflex) and a normal response is classified as 2++. Any reduced hypo-reflex (1+) or increased hyper-reflex (3+++) with Clonus and Babinski positive as might indicate some form of upper motor neurone lesion like Multiple sclerosis, stroke, spinal cord tumour or brain injury. Any altered reflex will need further investigation as a possibility of disc or neural pathology. These techniques and more is taught on the Neurological Master-Class at the University of Oxford.
In terms of his courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name.
John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include:
1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD.
2. The Vital Glutes, connecting the gait cycle to pain and dysfunction
3. Functional Anatomy of the Pelvis, SI joint & lumbar spine
4. The Vital Shoulder Complex
5. 2nd Edition of Kinesiology Taping (released early 2020)
6. The Vital Nerves (released early 2020)
All his books are available to buy now through his website www.johngibbons...... or from Amazon www.amazon.co.uk
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idyllic venue of Oxford University, home of the first four-minute mile by Roger Bannister.
Courses available and all the dates are online www.johngibbon...:
1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling

[@Janice-dk2gb]

You're so good at this! Perfect pace and explanations in every video. Very helpful. Thank you!

[@JohnGibbons]

Thanks for the message, regards JG

[@redamasoud6226]

All your videos are great, because you're explaining from anatomically & physiologically sides and that's very useful.
Thank you Dr. John for this video.
Best regards,
Reda.

[@JohnGibbons]

Thanks for the comments, regards JG

[@drewb1263]

And this pretty much confirms my issue, frustrating as I've seen several therapists who told me I just have tight hamstrings. In this position and at that range I get sharp shooting pain in my foot, it is worse with dorsiflexion. As I've been trying to stretch the hamstring I think I've been aggravating the nerve

[@JohnGibbons]

Sounds like you are exacerbating the sciatic nerve, try another therapist and see what they say, regards jG

[@paolomanalo6103]

This is so awesome Dr. Gibbons, any video on how you treat Sciatica?

[@JohnGibbons]

Thanks for the message and most sciatic related pain is caused by disc pathology and I have plenty of videos on that, regards JG

[@Smile_-jq5kw]

Thanks alot for the information doc.

[@JohnGibbons]

So nice of you, regards JG

[@sanjayrai9938]

Very well explained John. For me When I get my leg straight at 30-45 degrees, I start to feel the burning/tingling at the back of my calf, if I want to go further than 45 degrees I have to bend my leg. Do you have any recommendations for treatments ? My physio seems to think it’s ok but clearly it’s not when 90 degrees is normal, I may have a herniated disk but I have minimal back pain, although I struggle to bend over sometimes without feeling stiff, thanks doc

[@ceezare3039]

My L4-L5 is herniated. At this very moment if I’m laying down straight like this women, I wouldn’t be able to lift my leg an inch high without my back spasming out. Why so painful ?

[@genx6619]

Thank you for the info ..my question to you is how accurate is SLR to diagnose slipped disc & what if SLR,seated leg raises,bend forward & backward , dorsiflexion tests are negative?

[@JohnGibbons]

Thanks for the comment and the SLR test is one of many and a MRI is gold standard, regards JG

[@frankidicolamia7720]

one question..
if the lasegue test is negative, can you exclude a herniated?

[@agm1990]

Hello Dr. John,
Can gout in the spine be a cause for sciatic pain?
Thanks for the videos!

[@JohnGibbons]

Rare to get gout in the spine so doubt it will cause sciatic pain, regards JG

[@markfairbarn1519]

Hello Dr John,
I tried doing these leg raises. I get a sharp type of pain when raising leg where the leg connects to my groin. After about 3-4 leg raises it becomes hard and my leg get weak and stiff. After that I have no power

[@JohnGibbons]

These tests are for sciatic pain, not related to pain in the groin as that will be another condition, see someone like me where you live, regards jG

[@jaylow1730]

So you don't think this could be sciatic nerve. Because after doing for leg lifts my leg feels super heavy and I'm unable to lift my leg. Also if I got for a walk i can't walk any more then 15 minutes due to severe back pain and I get a stiffness from my back to hips. My legs have gone numb a few times.

[@jaylow1730]

Numb a few times

[@nickerskine1586]

I get really bad, sharp pain when I lift my bad side's leg above my head while lying on my back. The pain radiates throughout my uppermost glute area, from the sacrum to the hip. The cobra pose makes that pain in the upper glute feel a really sharp pain as well. Do you think this is a glute issue, or do you think it stems from a herniated disc? I've seen several doctors and no one can provide a consensus diagnosis of what the main issue is. It also hurts in that upper glute area when I try to touch my toes while standing.

[@JohnGibbons]

Difficult to comment but the test in the video is to ascertain if the Sciatic nerve is involved in your symptoms and if positive then it could be this structure - typically a disc herniation is one of the most problematic issues that affect the nerve and an MRI will confirm this. Hope that helps, regards JG

[@tilst15381]

How do you treat Sciatica?

[@JohnGibbons]

Depends on the cause, regards JG

[@suniljat2110]

Same problem

[@riheimsmith9954]

I had messed up my leg in high school and I couldn't lift my leg

[@JohnGibbons]

Thanks for the message and sure you are ok now, regards JG

[@shangarasivabalu6154]

Hi

[@JohnGibbons]

Hello to you, regards JG

[@99wessman]

could be a sign for a tumor? lol that cannot be common enough to mention surely