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Dr. physical examination was most instructive: he noted: “Light axial compression on the vertex of the skull produced low back pain.” “SLR Straight Leg Raising at 45 degrees in the supine position produced low back pain but double-leg sitting SLR with the patient’s ability to lean forward and touch his knees produced no grimacing or discomfort from the patient.. Despite his subjective complaints, he had a physical examination performed by a Board Certified specialist in rehabilitation medicine, Dr. two full years later, in April 2004, in which not only did Dr. find clear signs of malingering—low back pain on axial compression of the skull markedly positive straight leg raising with completely negative bilateral sitting root tests bilateral give-away weakness—but also EMGs and NCTs then were completely normal, ruling out any nerve root irritation and/or lumbar radiculopathy..
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