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Is Someone Faking Back Pain? How to Tell. Waddell's Signs - Tests - YouTube
Channel: Bob & Brad
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hi I'm Bob Shrum physical therapist at
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Hynek physical therapy because I we are
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the most famous physical therapist on
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the Internet in our opinion of course
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all right is someone faking back pain
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that's the big question here asking me I
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don't know the thing is this is not a
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definitive test but it does help you
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start pointing that direction to
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determine whether or not they are faking
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and we'll talk about this more but it's
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called Waddell's or and was invented by
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Gordon Waddell he's an orthopedic doctor
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from Scotland well I don't know alive or
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not but anyway he came up with these
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tests and not you know it's not does not
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mean if they're if they're positive and
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we usually do five of them and if three
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or four of them are positive then you
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start thinking is the person faking or
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is there an emotional component that's
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really enhancing their responses to
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write your tests they had a real bad
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experience and they're just so anxious
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that it's gonna flare up or get that
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stabbing pain it's it's like that this
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is usually done by a physical therapist
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a therapist a physical therapist
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assistant you know you can do it if
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you're not a therapist but we're the
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ones that normally use this right we're
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the ones that see a lot of patience so
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we start seeing when something seems a
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little abnormal because I don't do these
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on everybody by any means I'll start to
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do these if I start seeing something a
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little weird yeah and I had to pee and
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give it just two examples real quickly
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one definitely person was faking it and
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I've only probably had one or two people
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in my lifetime that were faking clearly
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clearly and the other person no it was
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an emotional component she was abused as
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a child and she just she just you know
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her pain scale was always 20 from 0 to
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10 I mean just one of these people you
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could tell emotionally not stable right
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so all right the first test and all you
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like to do is called go ahead stand up
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Brendan and we're gonna go ahead and
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just put all I do to the person is I put
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some gentle pressure on the head now
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this is for back pain so this you know
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I'm seeing Brad for back pain he's been
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acting a little strange so I go ahead
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and I push down on his head really
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lightly there's no way there's no way
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that even put pressure on his neck
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to be honest with you and yeah your
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reaction Brad yeah I'll always hurt my
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back so the second test that's similar
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to that is he's gonna put your hands on
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your sides
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down on your legs and your don't want
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them to kind of twist from the knees and
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as you see from this there's actually no
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stress on the back whatsoever because
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the back is moving like a log or
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rotation the arms are acting like two
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splints right so that's yeah so all my
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motions for my ankle and my knees
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there's no stress on the back at all and
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if this increases their pain again it's
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a possible sign so we're gonna go
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distract it now Brad so everybody knows
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that going lay down flat on your back
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read a lot of people know that this is
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the test for back pain for a sciatic
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nerve you bring your leg up and then you
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bring the foot forward and they'll have
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increased pain with that so that's not
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that's fine if you know brad has that
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always came here going down my leg but
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then later on when I'm treating to him
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I'll have Brad sit up and I'll do it in
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the seated position not even saying
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anything to him I'll just bring the leg
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up like this yeah he has no pain and
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stretch my foot a little bit and if he
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hadn't laying down he should also have
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it seated otherwise that's not
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inconsistent again sir there's an issue
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going on here if if the patient is
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telling me that they have like a sensory
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loss or numbness or tingling throughout
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the entire leg right you know not not
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front not back because usually it's in
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the back right and in all of therapists
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we know the dermatomes right where the
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pattern of the nerve typically responds
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right you know so if they have numbness
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throughout the entire leg there's your
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sign you know so and there is that it so
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the other one is that kind of flows in
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that same category if we're testing
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their muscle strength and this is one
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that you can it takes a little bit
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experience to know but when you push
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that something's weak it just kind of
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gradually gives away like this but if
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someone goes like this and also that his
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give like that that's not normal that's
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not how muscle strength usually gives
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away the last sign is is Brad if they're
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just over exaggerating everything like I
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go and I just touch it oh you know
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they're just I mean so again those are
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five signs you can look at and again
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does not mean that they're faking for
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sure right but if it does you know if
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I'm a surgeon I'm not going to do a
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surgery on a person like this you know
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I'm not gonna jump into surgery because
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there this person is gonna come out
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probably still have pain is that it's an
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emotional component so that emotional
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component may need to be treated along
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with the back pain right exactly huh so
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so it's like if you have three out of
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the five our patio door but if it's five
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out of five and something is going I had
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someone that had five out of five like I
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said one was a faker and she ended up
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settling with insurance yeah I'm pretty
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with the insurance company and and the
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other one like I said was an emotional
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composer all right thanks I watching
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good comment below
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you
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