Flip Test of the Back

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Finkelsteins Test

• Flip Test
• Flip Test of the Back
• Sciatic Nerve Tension Test (Sitting)
• Seated Sciatic Stretch Test
• Seated Leg Extension Test
• Seated Radicular Pain Test
• Seated Nerve Root Tension Test
• Seated Lumbar Nerve Stretch Test

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Purpose

• Evaluate for the cause of back pain in patients with radicular features

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Description

• The patient is seated on the examination table, legs hanging off
• They are instructed to keep their back in extension
• The examiner stabilizes the ipsilateral thigh with one hand
• And grasps the heel with the other
• The affected limb is slowly raised, extending the knee
• Positive test
  • Pain/ radicular features are reproduced
  • The patient leans or "flips" backwards

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Pathology

• Lumbar Radiculopathy
• Sciatica

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Evidence

• Unknown

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See Also

• Back Pain Main
• Back Anatomy Main
• Physical Exam Back

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