17d. MSK - Back Pain Flashcards
How is back pain normally categorised?
Mechanical
Non-mechanical
What is mechanical back pain associated with?
Movement
Which parts of the body are usually implicated in mechanical back pain?
Muscles
Facet joints
Intervertebral discs
Bones
What should be considered during a case history when faced with mechanical back pain?
Pain onset
Age
Daily pattern
What are the two different types of pain onset?
Gradual without trauma
Sudden onset
What can a gradual onset of back pain indicate?
Degenerative picture
Muscle fatigue
What can a sudden onset of back pain indicate?
Acute inflammation
Why is age a factor in mechanical back pain?
Joint degeneration begins around 30
At what age are disc herniations common?
30-40 years
If back pain is relieved by movement what can that indicate?
Inflammation
If back pain gets worse during the day what can that indicate?
Muscular or degenerative issue
Causes and risk factors for mechanical back pain
Physical trauma
Inflammation
Emotional stress
Why is emotional stress a risk factor for mechanical back pain?
Increases SNS activity which increases muscle shortening
Examples of non-mechanical back pain
Systemic diseases
Fibromyalgia
Endometriosis
Renal disease
Shingles
Osteomyelitis
Natural approach to supporting back pain
Naturopathic diet with focus on reducing inflammation
Mediterranean diet
Address inflammatory mediators
Address stress
Movement
Referral
Hydrotherapy
