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Yr 2 Movement - term 2 and 3 > Back Pain > Flashcards

Flashcards in Back Pain Deck (21)
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1

What is ankylosing spondylitis?

Spinal arthritis >> stiffness.
-often young men

2

What is the most mobile region of the spine?

Cervical region.
-has relatively thick discs

3

Which is the least mobile region of the spine?

Thoracic region.
-ribs inhibit movement

4

When in the day are intervertebral disc most swollen with water?

In the morning.

5

When in the day are intervertebral discs most prone to injury?

In the morning.
-more swollen with water, so resist bending

6

What happens to intervertebral discs with age?

They lose water & strength, and become thinner.

7

What are osteophytes?

Bony projections that form to try to stabilise the spine.

8

What are the classifications of low back pain? (3)

-Simple backache
-Nerve root involvement
-Serious spinal pathology

9

What is a classic history of simple back pain?

-1st episode sudden onset (while lifting)
-Recurrent episodes
-Better lying flat

10

What are drug treatments for low back pain?

-Paracetamol
-NSAIDs
-Opioids
-Nerve modulators
-Tricyclic anti-depressants (amitriptyline)

11

What is sciatica?

Pain from back >> leg.
-NB. must go below knee
-involves sciatic nerve (L4 >> S3)

12

What are common signs of sciatica? (2)

Foot droop
Loss of ankle jerk

13

What is a classic history for inflammatory back pain?

-Usually FH
-Nocturnal pain with early morning stiffness
-Better with exercise

14

What is known as the 'silent' disease?

Osteoporosis.

15

What is osteomalacia?

Softening of bone due to lack of vitamin D/calcium.
-diet & sunlight

16

What is Paget's disease?

Enlarged/misshapen bones.
-commonly pelvis
-raised alkaline phosphate

17

What can Paget's disease cause in the spine?

Spinal stenosis.

18

What is neurogenic claudication?

A common symptom of spinal stenosis.
- Bilateral leg weakness/tingling
-relieved by resting

19

How do you distinguish neurogenic & intermittent claudication?

Neurogenic has normal peripheral pulses & worse walking downhill.

20

What is cauda equina syndrome?

Damage to cauda equina >> loss of function of the lumbar plexus.

21

What are common symptoms of cauda equina syndrome?

-Difficulty with micturition
-Faecal incontinence
-Saddle anaesthesia
-Low back/leg pain