Functional test for a herniated disc


All test procedures are carried out in such a way that they cause the least possible stress for the patient. Due to the high level of irritability (= irritability, little charm = big impact) of the event, caution is advised during the investigation. Testing of active and passive spinal mobility in diffraction, Elongation, Twist and tilt. The therapist has certain test movements carried out for the most exact diagnosis and re-diagnosis possible. Specific passive examination for misalignment of the lumbar vertebrae and examination of the range of motion between the individual spinal segments.

Pain provocation test

Caution should be exercised in the lumbar spine melt challenge test. If the pain is so severe that the patient cannot bear the pressure or the pain makes it impossible to differentiate between the affected vertebral segments, the test must be discontinued. Strength test the Abdominal muscles and Back muscles and identification muscles of the legs for the affected spinal column segment (due to weakness in certain Leg muscles - Foot lifter, lower foot, toe flexor and toe extensor - conclusions can be drawn about the affected spinal column section), if feasible. Coughing, sneezing, and straining cause pain

Appointment with a specialist for a herniated disc?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

A herniated disc is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.

Therefore, treating a herniated disc requires a lot of experience.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

  • Lumedis - your orthopedic surgeon
    Kaiserstrasse 14
    60311 Frankfurt am Main

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Further information about myself can be found at Dr. Nicolas Gumpert

Sensitivity and reflexes

The skin areas assigned to the spinal column segment are examined for their sensitivity (touch, pressure and temperature sensation). The reflexes assigned to the affected spinal column segment (e.g. Hamstring reflex or Achilles tendon reflex) are checked.

Neuromechanical examination: The peripheral nerves in the knee and foot area are scanned to assess whether they are irritable.

Nerve stretch tests


When lifting the extended leg from the supine position on the affected side, there is increased resistance to movement against lifting the leg and the well-known nerve pain, caused by the stretching of the sciatic nerve, occurs. The further away from the trunk the pain occurs, the more likely it is that the pain is causing the pain Intervertebral disc directly caused.

Slump test:

When sitting upright, the affected leg is stretched out and the foot is pulled up towards the body Cervical spine bent. Through the strain of the sciatic nerve and the membranes of the spinal cord, the patient's typical pain is reproduced.

Bow string sign:

from the supine position becomes with bent hips and Knee joint a direct compression (pressure) on a branch of the sciatic nerve is given, causing the familiar pain.

Already exists MRI Findings in which a certain segment can be blamed for the pain, the results of the manual test procedures should agree with the MRI findings.

After collecting the physiotherapeutic findings and done information of the patient about the present Problem and the forecast will the individual treatment plan created and Trial treatments carried out. For the following treatment proposals, I assume that the symptoms clearly correspond to the diagnosis: Lumbar disc herniation can be assigned and not through other structural changes to the Spine or caused by a dysfunction in the sacrum and / or the lumbar spine.

Here you can go directly to the Treatment plan for a herniated disc