March Question of the Month

Just want to say good luck to everyone taking the OCS/SCS exam this month!  We hope our questions of the month and resources have been useful.

This will be the last question of the month till we start up again in November.  All the best!

A patient presents to you with bilateral numbness in the anterior and posterior thighs that worsens with prolonged sitting.

SEE THE CORRECT ANSWER BELOW

The correct answer is lumbar stenosis.  Although lumbar stenosis can cause bilateral symptoms into the legs, you would expect this patient to have a relief of symptoms when they sit down.

Cervical myelopathy often presents initially in the lower extremities and can worsen symptoms with prolonged sitting.

Cauda equina syndrome and a large central disc herniation in the lumbar spine are essentially the same pathology, and cause bilateral symptoms.  So you can essentially rule these answer choices out.

Tough question this week, and definitely debatable, but all good OCS questions are.

Check out the recent case report published on Cervical Myelopathy in Physiotherapy Theory and Practice by clicking here.

 

GOOD LUCK AND STUDY HARD!

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s