Flashcards in Back Pain Deck (7)
Most comm types
Simple Lumbosacral or mechanical 90%. Clear mech of inj, pain worse on movem. PK often work. Yng age.
Signs of N root pain (sciatic or neur symps).
Possible sinister feats (incontin, saddle anaes, wl, fever, sweats, increasing pain).
Over 55 or under 20
Sev increasing pain
Hx of CA- low thresh for PSA test in men
IV drug use- groin injec can cause back abcess.
Cauda equina synd
Emergency, immed ref
Gait disturb, leg motor weakness
Sphincter disturb, bowel disturb
Can incr intensity and durat of pain
Pych risk distress or dep
Fam hx chronic back pain
Work rel issues
Medico legal proceedings
-keele start back score
Palpat- verteb, pelvic jnts, lumbar musc
Move- stabilise hips- flex/ext, rot, side.
SLR. Can incl femoral stretch test (flex ankle in SLR).
Leg power, sensat and reflexes.
Reass and advice. Us resolve 3wk if mechanical.
Stay active but avoid lifting. Walking good.
MDT (CBT, back school)