Flashcards in Back Pain Deck (21)
What is ankylosing spondylitis?
Spinal arthritis >> stiffness.
-often young men
What is the most mobile region of the spine?
-has relatively thick discs
Which is the least mobile region of the spine?
-ribs inhibit movement
When in the day are intervertebral disc most swollen with water?
In the morning.
When in the day are intervertebral discs most prone to injury?
In the morning.
-more swollen with water, so resist bending
What happens to intervertebral discs with age?
They lose water & strength, and become thinner.
What are osteophytes?
Bony projections that form to try to stabilise the spine.
What are the classifications of low back pain? (3)
-Nerve root involvement
-Serious spinal pathology
What is a classic history of simple back pain?
-1st episode sudden onset (while lifting)
-Better lying flat
What are drug treatments for low back pain?
-Tricyclic anti-depressants (amitriptyline)
What is sciatica?
Pain from back >> leg.
-NB. must go below knee
-involves sciatic nerve (L4 >> S3)
What are common signs of sciatica? (2)
Loss of ankle jerk
What is a classic history for inflammatory back pain?
-Nocturnal pain with early morning stiffness
-Better with exercise
What is known as the 'silent' disease?
What is osteomalacia?
Softening of bone due to lack of vitamin D/calcium.
-diet & sunlight
What is Paget's disease?
-raised alkaline phosphate
What can Paget's disease cause in the spine?
What is neurogenic claudication?
A common symptom of spinal stenosis.
- Bilateral leg weakness/tingling
-relieved by resting
How do you distinguish neurogenic & intermittent claudication?
Neurogenic has normal peripheral pulses & worse walking downhill.
What is cauda equina syndrome?
Damage to cauda equina >> loss of function of the lumbar plexus.