He is very pleasant and fully cooperative with the history and physical examination. There are no pain amplification behaviors.
Alignment is normal throughout the spine and lower limbs.
The right Achilles reflex is trace. There are no sensory deficits in the lower limbs. There is no adverse neural tension on either side by the straight leg raise test or the slump test. There are no skin or vasomotor changes. Muscle tone and bulk are normal and symmetric.