Lumbar HNP Treatment
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 11 March 2026
⏱️ 11 minutes
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Summary
Yesenia is a 37-year-old patient with lumbar disc herniation who reports pain radiating to the posterior thigh. During treatment, repeated lumbar extension causes leg pain to resolve but increases central low back discomfort. Which intervention is MOST appropriate to continue?
A) Discontinue extension due to increased lumbar pain
B) Progress lumbar flexion exercises to reduce spinal compression
C) Continue repeated lumbar extension within tolerance
D) Introduce hamstring stretching to reduce neural tension
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:08.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:15.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.7 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.2 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.4 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life you |
| 0:50.9 | love, you're in the right place. |
| 0:53.0 | Enjoy the show. |
| 0:56.5 | For this week's clinical file, we have Yassinia, and Yusinia is a 37-year-old patient with lumbar disc herniation, who |
| 1:03.2 | reports pain radiating to the posterior thigh. During the treatment, repeated lumbar extension |
| 1:10.3 | causes leg pain to resolve but increases central |
| 1:14.9 | low back discomfort. |
| 1:16.8 | Which intervention is most appropriate to continue? |
| 1:19.9 | So let's go down to the answer choices. |
| 1:21.6 | We have A, discontinue extension due to increased lumbar pain. |
| 1:26.1 | B, progress lumbar flexion exercises to reduce spinal compression. |
| 1:32.7 | C. Continue repeated lumbar extension within tolerance. And D is to introduce hamstring stretching |
| 1:40.5 | to reduce neural tension. All right. Let's go to the top of this question. I'm |
| 1:46.2 | pumped, man. I'm so excited. And, you know, before I start this question, I always want to give thanks |
| 1:52.1 | to you for listening to this podcast. Thank you for sharing this with your classmates, |
... |
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