MS with positive Hoffman's sign and Babinski test

This patient was initially sent to PT for altered gait. She has what appears to be some spasticity in the leg and has difficulty dorsiflexing the ankle. She has a 10 year history of mild MS. The Hoffman's Sign and Babinski test should make you suspicious of an underlying upper motor neuron lesion.
Check out our new OEP merchandise: / @orthoevalpal
Want to join the OEP community? Click here to jump onto our email list. orthoevalpal.com SUBSCRIBE at the bottom of the page.
WE HAVE A NEW WEBSITE!! Click HERE to check it out: orthoevalpal.com
Are you looking for One on one Coaching? We have it! orthoevalpal.com/online-coaching
Ask me your ortho evaluation questions and I will answer them on the show: [e-mail]
Be sure to check out our 380+ videos on our KZbin Channel called Ortho Eval Pal with Paul Marquis / orthoevalpalwithpaulma...
Follow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal
Interested in our Sponsor Products? Click EZ Glider Socks(ezglidersocks.com/marquis) or Fresh Rest Bedding(freshrestbedding.com/marquis) or
EZ Slant (ezslant.com/)Any DONATIONS to Ortho Eval Pal are greatly appreciated: www.paypal.com/cgi-bin/webscr...
#MultipleSclerosis#Hoffman'sSign#Babinski

[@yasminecop]

thanks, doctor paul

[@OrthoEvalPal]

With the Hoffman's sign it is positIve if the thumb and index finger come together when middle finger is flicked. Babinski is positive when great toe extends and toes splay

[@asnfhtmlzxsje274]

Paul Marquis thanks sir

[@zaynryaz4016]

Thanks for your very interesting article, Some of the natural cures for MS are... Get a lot of rest Exercising, yoga, tai chi, meditation, deep breathing, hypnosis, Use green juice, wheatgrass, fruit and veg - organic are best flaxseed oil, evening primrose oil etc. Some things to avoid if you have MS are alcohol, chocolate, dairy products, eggs, hydrogenated oils, margarine, milk, red meats, sugar, aspartame. (I read these and the reasons they work from Denelle Multi Care site )

[@mannymew1651]

Zayn Ryaz no natural cures for MS

[@ignaciovallejo3462]

If only the index finger moves (but no the thumb), the Hoffmans sign is positive?

[@etymon2]

With Babinski, big toe flexes UPWARD rather than down. (I've got MS.)

[@MsHEADbanging]

Thank you! I am a medical student and videos like these are the best! I have been struggling with the pinching of the middle finger, I can't seem to get it right.

[@OrthoEvalPal]

Practice it often. It should be an ubrupt "Click"

[@dimahussein459]

thank you doctor ☺☺☺

[@user-lv9kt5fx5m]

thank you

[@paulineo.5830]

very helpful. Thank you! :D

[@KarthikKarthik-db9zc]

Pauline O. 😍

[@StoicScape219]

Thank you! I'm a FNP student :D

[@OrthoEvalPal]

You are very welcome!

[@Shadow-qs3kq]

Hi paul I enjoy watching your videos. I tried this on myself because I have some mnd symptoms but nothing happens does this have any significance?

[@OrthoEvalPal]

+Shadow1988 Very difficult to do on yourself. Needs to be administered by another provider. You can have a negative Hoffman's and negative Babinski and still have symptoms. Not everybody gets positive tests who have MS but they are common with MS. Just another tool in the tool box.

[@TheAdhdGardener]

I always wondered what my neuro was doing when he flicked my finger. (Have MS)

[@glaucomflecken]

So, what happens in MS?

[@nicky2591]

So if someone has a positive Hoffman's sighn and a positive Babinski test does that mean they definitely have ms . because if so i wont have my MRI

[@dr.sakitmahmud8556]

Thank you for your demonstration 😊.But it's the wrong way to elicit a babinski sign with the sharp end of your clinical hammer 😊. Anybody can use a large blunt car key or wooden blunt stick. Thank you and kind regards~ 🌼

[@Entrojoe]

If it moves does that mean there is an issue? Or is it that if it doesn't move an issue may be present.

[@nguyenminhanh3055]

there is an issue when it move

[@glaucomflecken]

That tomahawk reflex hammer gives me scary flashbacks of neurology wards...

[@jixer1956]

Is it just me or is only the index finger moving on the Hoffman test? Is that still considered a positive?

[@OrthoEvalPal]

Yes it is

[@tessarolomed]

What if only the thumb moves and only on one hand?

[@OrthoEvalPal]

You still need to be concerned with an upper motor neuron lesion.

[@Joshuaversa]

Does it mean when it only happens in one hand, spinal cord compression?

[@scarlettrubyrose]

@@Joshuaversa curious about this too

[@Joshuaversa]

@@scarlettrubyroseI spoke with a neurologist apparently if it happens only on one hand it could mean just the area of the brain that was damaged, same with Babinski.

[@Antydemokrata]

i dont see anything with thumb, whats going on here?

[@OrthoEvalPal]

it is very subtle but the thumb and index finger are bouncing closer to each other when middle finger is flicked.

[@Antydemokrata]

+Paul Marquis this can be in ALS too?

[@OrthoEvalPal]

+Pod ka could be. But was already diagnosed as MS by specialist and MRI

[@angelaolivas4536]

Am 52 and am getting numb on my arms and at night whim am asleep I wake up feeling hot. And also every once in s while my whole body jolts it feels like it is coming from the center of my body.

[@abigailmiller6983]

Your comment was from almost a year ago, but given your age and your symptoms, have you had your hormone levels checked out? Sounds like menopausal symptoms (me too!).

[@paddymcmullan]

hello , im worried about the checks my docs have been doing , im having a lot of problems with arm pain BOTH arms , its been going on for around 9 weeks . its driving me nuts , i feel like ive done 10 rounds of boxing where ive punched my self out and my arms are heavy , tired , weak sore and burning , its got to the stage i cant lift my 1 and a half year old daughter out of her cot has any one any ideas , i also noticed my blood pressure and pules has went up over this time although the gps have never check my blood pressure ive my own machine , they say tennis elbow but im worried its not as inm getting weaker and weaker , and reply welcome expect trolls who think they are funny but they are just being A$$holes and need to get a life lol

[@glaucomflecken]

Well, stop playing tennis then, isn't it obvious... smh.

[@miguelcardenas2413]

How you feeling today ? Did you got diagnosed with something ?

[@tatigrasso1993]

Wish 50 and her hands look like that?? I need to know her secrets

[@ignaciovallejo3462]

In my opinion, not a conclusive positive Hoffman´s sign.

[@OrthoEvalPal]

Hi Ignacio, Thanks for the comment. What I have found with the Hoffman's is that the more you do it in a short period of time the less it seems to react. These videos are usually done after the patient has been evaluated for 1/2 to 1 hour. Best, Paul

[@ignaciovallejo3462]

Thanks, Paul, for your answer.

[@ivo491]

@@OrthoEvalPal Excuse me doctor I've been really anxious about having als. Is there any way to see for my self if I have babinky's sign? I've not been able to go and see a doctor and all this fear has been consuming me sorry if I bother you

[@ammarjammal6994]

Young lady !?! she is 50 y old

[@MarcellaSmithVegan]

Do you think 50 is OLD!!!!!

[@markgeraldupano6314]

old is 80ish..maybe 70ish, but 80ish to be safe :)

[@rubyrere6188]

العربي مو متعود ع الاتكيت 😑 لازم تراعي شعور البيشنت وما تستخدم كلمات تجرحه. عجوز للمرأة كلمة جارحة. في واحد في اكزامنيشن كارديو رسبوه عشان استخدم كلمة deformed chest قدام البيشنت! حتى في الهيستوري لو جاك واحد يتعاطى كحول او مخدرات ما تقول في الsummary انه عنده bad habits، تقول special habits اتعلموا الاتكيت وما تفضحونا 😂