You are seeing a 25 year-old-female with a chief complaint of back pain. The patient was involved in a minor car accident this morning, and is experiencing severe, sharp pain in her low back. The pain is rated 8/10 in severity. The pain is aggravated by movement, and the patient has decreased range of motion in all planes. You perform a complete osteopathic examination. Which of the following physical exam findings is not consistent with acute somatic dysfunction?
- Ropy tissue with increased resistance
- Warm, moist tissue
- Edematous, erythematous tissue
- Local increase in tone; spasticity
- Sharp, severe tenderness to palpation