- ♪ Bob and Brad ♪ the two most famous physical
therapists on the internet. - Hi, I'm Bob Schrupp, physical therapist, - Brad Heineck physical therapist. - Together we are the most
famous physical therapists on the internet. - In our opinion, of course, Bob. - All right, is someone faking back pain? - That's the big question
you're asking me? - I don't know. The thing is this is
not a definitive test, but it does help you
start pointing in that direction to determine,
whether or not they are faking. And we'll talk about this more, but it it's called Waddell's, or, it was invented by Gordon Waddell. He's an orthopedic doctor from Scotland. - Oh - I dunno if he's still alive or not, but anyway, he came up with these tests, and there's not, you know, it does not mean if they're,
if they're positive, and we usually do five
of them, and if three or four of 'em are positive,
then you start thinking is the person faking? or is there an emotional
component that's really enhancing their responses to - Right. - Your tests. - They had a real bad experience. And they're just so anxious that it's gonna flare up
or get that stabbing pain. It's it's like that, And this is usually done
by a physical therapist, a physical therapist
assistant you, you know, you can do it if you're not a therapist, but we're the ones that
normally use this thing. - Right. We're the ones
that see a lot of patients, so we start seeing when something
seems a little abnormal, cause I don't do these on
everybody by any means. I'll start to do these, if I start seeing something
a little weird, right. You know, and I have two, I'm gonna give it just two
examples, real quickly. One, definitely, person was faking, and I've only probably
had one or two people in my lifetime that were faking clearly. Yeah, clearly. And the other person, no, it
wasn't emotional component. She was abused as a child
and she just, you know, her pain scale was always
20 from zero to 10. I mean just one of these people you could
tell emotionally, not stable. - Right. - So, all right. The first test that we
like to do is called, why don't you go ahead and stand up Brad, and we're gonna go ahead
and just put, all I do to the person is I put some
gentle pressure on the head. Now this is for back pain, so this, you know, I'm
seeing Brad for back pain. He's been acting a little strange. So I go ahead and I push down
on his head really lightly. There's no way, there's no way that even
put pressure on his neck to be honest with you, and, and yeah. Your reaction, Brad. Yeah. Oh, oh, it hurt my back. All right, so the second test
that's similar to that is you're gonna put your hands on your sides down on your legs, and you're gonna wanna kind
of twist from the knees. And as you see from this, there's actually no stress
on the back whatsoever, because the back's moving
like a log or rotation. - The arms are acting like two splints. - Right, so that's, yeah, so it's... all my motions
for my ankles and my knees. - So there's no stress on the back at all. And if this increases their pain, again, it's a possible sign. So we're gonna go distracted now, Brad. So everybody knows like, go ahead and lay down flat on your back, Brad. a lot of people know
that this is the test for back pain, for a sciatic nerve. You bring your leg up and then
you bring the foot forward, and they'll have increased pain with that. So that's not, that's fine
if you know, Brad has that. Ow, ow, ow, it hurts. - Right, pain here. - Yeah, going down my leg. But then later on when I'm treating him, I'll have Brad sit up, and I'll do it in the seated position. Not even saying anything to him I'll just bring the leg up like this, - No problem. - Yeah, he has no pain. - Yeah, scratch my foot a little bit. - Yeah. - Yep. - And if he had it laying down, he should also have it seated now. Otherwise that's inconsistent. And again, there's an issue going on here. If, if the patient is telling
me that they have like a a sensory loss or numbness or tingling throughout the entire leg, - Right. - You know, not, not front not back cuz usually it's in the back. - Right. And, and all the therapists, we know the dermatomes right. Where the pattern of the
nerve typically responds. - Right. - You know, so if they have numbness throughout the entire
leg, there's your sign. Yeah, so. - And is that it? - No the other one is that kind of falls in that same category, if we're testing their muscle strength and this is one that, it takes a little bit
of experience to know, but when you push, and something's weak, it just kind of gradually
gives away like this. - Yep. - But if someone goes like this and all of a sudden they
just give, like that, that's not normal. - Right. - That's not how muscle
strength usually gives way. The last sign is, is, Brad. If they're just over
exaggerating everything, like go and I just touch
and, oh, oh, oh, oh, you know, they're just, I mean. So again, those are five signs you can look at. And again, does not mean
that they're faking for sure, - Right. - But if it does, you
know, if I'm a surgeon I'm not gonna do surgery
on a person like this, you know I'm not gonna jump into surgery 'cause, this person's gonna come out and probably still have pain. - Right. - Cause it's an emotional component. So that emotional component
may need to be treated along with the back pain. - Right, exactly. So, it's like, if you have three out of
the five are positive, but if it's five out of five, something is going on. I had someone that had five
out of five, and like I said one was a faker and she
ended up settling with an insurance company, with
the insurance company, and the other one, like I said
was an emotional component. So alright thanks for watching. Good... comment below.
