@doctorhaleymain: Not every patient with low back pain needs prone press-ups. When your patient has their greatest pain with sagittal-plane movements and also demonstrates positive dural tension signs, that pattern may increase your suspicion for discogenic or nerve-root involvement. That’s when I start thinking about axial separation. The goal is to use distraction to unload the involved segment, decrease compressive forces, and assess whether symptoms improve. Then, if the patient demonstrates a clear extension preference or centralization with repeated extension, prone press-ups may be appropriate to add. The key is not choosing a technique because it’s popular. It’s choosing the technique because the exam gave you a reason to. 🧭 Clinical reasoning first. Technique second. Save this for your next lumbar patient. #PhysicalTherapy #PhysicalTherapist #DPT #ManualTherapy #LowBackPain

Dr. Main

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Region: US

Monday 17 August 2026 00:00:46 GMT