National Physical Therapy Examination (NPTE) Practice Exam

What is the best treatment option for a patient reporting low back pain with radicular symptoms in the left thigh?

1. Direction preference

2. Spinal manipulation

3. Stabilization exercises

4. Mechanical traction

The correct answer is: Direction preference

The best treatment option for a patient experiencing low back pain with radicular symptoms in the left thigh is direction preference. This approach involves positioning and movements that favor the patient's symptoms and alleviate pain, typically guided by the directional preference that reduces radicular symptoms. In cases of radicular pain, which can occur due to conditions like a herniated disc or nerve root compression, identifying specific movements that lead to symptom relief is crucial. By using directional preference, therapists can effectively target the underlying issues, potentially restoring normal function and reducing pain. This method is often integrated into a broader treatment plan, supporting the rehabilitation process and enhancing the patient's overall recovery experience. Other intervention options, while beneficial in particular contexts, may not address the underlying biomechanical issues as effectively as direction preference in this scenario. Spinal manipulation, stabilization exercises, and mechanical traction can support treatment but may not yield the immediate symptom relief that targeted directional preference offers in radicular presentations.