3.5.2 Non-Surgical Approaches to Low Back Pain Flashcards Preview

A - Musculoskeletal > 3.5.2 Non-Surgical Approaches to Low Back Pain > Flashcards

Flashcards in 3.5.2 Non-Surgical Approaches to Low Back Pain Deck (24)
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1
Q

What are the different anatomical components of the back?

A

Joints, ligaments, muscles, nerves, discs

2
Q

How many thoracic vertabrae are there?

A

12

3
Q

What are the primary joints of the spine?

A

Zygoaphophyseal/facet joints

4
Q

Describe the type of joint, motion, and innervation of the zygoapophyseal/facet joints.

A

Synovial, gliding motion, medial branch of nerve

Forming by superior and inferior articular processes

5
Q

What are the weight bearing joints of the spine?

A

Intervertebral joints

6
Q

What are the two components of the vertebral disc?

A

Annulus fibrosis - innervated

Nucleus puplosis (what herniates in a disc hernation) - not invervated but can push on nerves

7
Q

Id these ligaments

A
8
Q

What type of motion is mediated by superficial spinal muscles? Deep spinal motions?

A

Superficial: Power muscles

Deep: segmental stability muscle

9
Q

What is the gold standard for diagnosing low back pain?

A

Clinical exam (not imaging)

10
Q

What is the term for the CNS amplifying pain due to spinal dysfunction/pain?

A

Central sensitization

11
Q

What happens to the nucleus and the annulus during disc degeneration?

A

Nucleus dries out

Annulus becomes too mobile

12
Q

What occurs in a disc herniation?

A

A break in the annulus fibrosis with subsequent migration of the nucleus puplosis

13
Q

What is the term for pain and numbness due to the nucleus pushing on a spinal root?

A

Radiculopathy

14
Q

What are the symptoms with radiculopathy?

A

Increase pain w/ forward flexion, sitting/driving, cough/sneeze

Decrease pain w/ lying supine, unloading spine, standing

15
Q

What is the term for acute pain from entrapment of displaced intra-articular meniscoid?

A

acute facet lock

16
Q
A

Spondylolis: fracture of pars interarticularis without slippage

Spondylothesis: fracture with anterior displacement

17
Q

What is spinal stenosis?

A
18
Q

What is the classic symptom of spinal stenosis?

A

Muscle spasms at night (especially the calf)

19
Q

What is the classic symptom of cancer in the back?

A

Persistent night pain

20
Q

What is the required treatment for cauda equina?

A

Surgical intervention within 24-48 hrs

21
Q

What are the signs and symptoms of cauda equina?

A
22
Q

What is the term for decreased pain with herniation?

A

Centralization

23
Q

Fill in this chart

A
24
Q
A

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