Hyperreflexia Hoffmans Sign Clonus 2

[@NicoleBrass]

Great demo. Clear and not too fast. Great capturing of the results of the tests too. Thx!

[@OrthoEvalPal]

Sorry this was late but Thank you!

[@cjpogar]

Very informative and easy to understand. Thank you.

[@fourlaovientiane8954]

Clear understanding

[@FlyzButter]

I started watching your videos because since 2013 my arms and legs have been getting progressively weaker. I finally found a doctor to take me seriously and she sent me for an MRI which showed spinal cord compression at C7 to 4mm. I had that herniated disc removed on August 15, 2022, but I am still having the same weakness in my arms and legs. Along with the weakness I have shortness of breath. What is the likelihood that the spinal cord issue was a coincidence and something else isn't going on?

[@carolhughes3637]

This was very helpful, thank you.

[@Jjbarrea124]

Can I ask what about a positive c7 makes you want to also check the lower extremities?

[@integratedssr]

This is pretty much exactly how I go through my neuro exam with my patients.

[@OrthoEvalPal]

Hi Bobby,I've developed a "process" with different diagnoses and it keeps the evaluation in order. Thanks for the comment! Best, Paul

[@deeice5398]

I saw a positive Hoffman's on this man's right hand but not his left? Maybe it was the cam angle.

[@OrthoEvalPal]

You are correct. It is the camera angle. He was positive on both sides.

[@meghashyamaks1079]

Babinski should have been extensor response with other positive signs of upper motor neuron lesion. Is there any reason for plantar response?

[@gustavoalves7232]

this is very interesting! Thank you for the content

[@blaschito1]

Hi Paul, Thanks for the video. How were you sure that it was a central cervical stenosis and not another pathology such as MS ? I see you referred to the neurosurgeon here and that you considered treatment based on PT methods.

[@OrthoEvalPal]

Follow up MRI showed significant c-spine stenosis.

[@samirprajapati3689]

Can u present some cases having neck pain without disc...having facet joint problem or some local cause which can be diagnosed clinically

[@cjm38]

Could it be ALS?

[@OrthoEvalPal]

Also a central cervical cord stenosis.

[@dr.sanaths4419]

Hoffman's +ve and absent Babinski??? How?

[@abcdi]

these are 2 completely independent signs

[@l0fye]

Babinski indicates lower motor neuron lesion. The hoffmans sign can be from many things everything from simple anxiety disorder, severe kidney disease, multiple sclerosis and ALS

[@mohammadhaghighat74]

I think Babinski is in favor of upper motor lesions

[@claus1225]

just curious, did he end up having surgery? or resolved through therapy?

[@OrthoEvalPal]

No he did not.

[@nicholasbaker6758]

Is hyperreflexia serious ? Reason I’m asking is I’m 4plus in my lower extremities Have a large herniated disk at t8t9 but neurosurgeon said the surgery is to risky

[@OrthoEvalPal]

Lots of people have hyperefflexia. It's when you have it both in the UE's and LE's along with a positive Babinski, and clonus you should be concerned. Also, look out for LE incoordination and even bowel and bladder issues.

[@nicholasbaker6758]

Ortho EVAL Pal With Paul Marquis Thanks for information they said hyperreflexia is coming from the herniated disk in thoracic spine as it become a new symptom in last month as herniated disk has grown I enjoyed watching your videos as it is been very educational to help me understand what’s happening with my degenerative spinal disease and also understand what doctors are saying about my condition Thank you for reply

[@nicholasbaker6758]

Clonus has arrived was referred to a different neurosurgeon at university of Florida for decompressing my cord in the tspine

[@GieButler]

Thank you so much. Greatly appreciate it.

[@OrthoEvalPal]

You are welcome Gie!

[@radiatamda8982]

Très intéressant mais pk ya pas une traduction en français. C'est pas tt le monde comprend l englais. Merci

[@OrthoEvalPal]

bonjour Radia, j'aurais aimé savoir comment faire traduire mes vidéos en français. Ma langue maternelle est le français acadien. Je ferai de mon mieux.

[@radiatamda8982]

@@OrthoEvalPal Je m'intéresse bcq a votre vidéo. Sont très très riche.en très importante pour moi pour comprendre mes études. Mais bn c'est pas grave je vais essayer d apprendre cette langue surtt en ce confinement. Merci de me répondre. Merci pour tes vidéos. Bn courage et bn continuation.

[@indeewaraya]

hay what could be the level of stenosis...?? C5?

[@OrthoEvalPal]

Severe Stenosis at C5 & C6

[@anthonycarswell8831]

What is plus 2 clonus

[@OrthoEvalPal]

Didn't think I graded it in this video. If I did, I might have meant he has clonus too??

[@vasileiospetropoulos2046]

Great sir thanks

[@sethb2235]

Great physical

[@OrthoEvalPal]

Thank you!!

[@helicart]

American Spinal Injury Association upper limb motor ax C5 elbow flexion C6 wrist extension C7 elbow extension C8 middle finger distal IP jt flexion T1 little finger abduction