ABSTRACT

The segmental examination performed on the patient supine across the table demonstrates dysfunction of a lumbosacral segment: L5-S1 or L4-5, more rarely L3-4.

The acute attack usually lasts 2 to 4 days and decreases progressively. It can last longer, especially when there is an antalgic attitude in flexion. Pain is usually relieved in supine, which is an often-prescribed treatment. In some cases, a persistent low back pain can propagate to involve the buttock and the leg, and sciatica develops.