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Rehabilitation after Lumbar Spine Surgery

Date of last update: January, 2025

7. Physical Examination

 

Overview: A comprehensive physical examination considers the biopsychosocial aspects of a patient’s condition, cultural sensitivity, informed consent, and the patient’s overall comfort. The selection and scope of assessments should be tailored to the individual clinical encounter, with a focus on increasing confidence in primary diagnostic considerations and refining differential diagnoses. This section provides an inventory of assessments rather than a prescriptive algorithm, allowing clinicians to choose appropriate measures based on the unique presentation and needs of each patient.

Post-surgical assessments should appraise the patient’s functional status, lead to an understanding of co-morbid conditions, and help in differentiating other mechanisms of low back pain.

Imaging:

Surveillance and management of post-surgical patients is often a multidisciplinary endeavor. Interdisciplinary communication and reporting are paramount for efficient coordination of care. Requisition of records and reports, with patient consent, will inform clinical decision making and management strategies.

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CCGI is funded by provincial associations and regulatory boards, and national associations including the Canadian Chiropractic Association

and Canadian Chiropractic Protective Association. CCGI maintains editorial independence from funders.

All content and media on the Canadian Chiropractic Guideline Initiative (CCGI) website is created and published online for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of a qualified health professional with questions, concerns or management regarding your health.

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