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Flashcards in Back pain Deck (11):
1

What are the red flags for malignancy in back pain?

Weight loss
Night pain
Thoracic pain
Night sweats
Hx of cancer

2

What are the red flags for cauda equina syndrome?

Weakness
Numbness
Saddle anaesthesia
Bowel or bladder involvement

3

What other systems can cause back pain?

Urinary - pyelonephritis
Vascular - AAA
Gastro - peptic ulcer

4

Which condition gives an abnormal Schober's test?

Ankylosing spondylitis - reduced lumbar flexion

5

What are the non-invasive treatments for low back pain and sciatica?

Education about red flags
Return to normal activities and avoid bed rest
Avoid precipitants
Physiotherapy

6

What is sciatica?

Irritation of the sciatic nerve

7

What can cause sciatica?

Disc herniation - under 50
Spinal stenosis - over 60

8

What symptoms and signs are present in sciatica?

Pain shooting down legs
Positive straight leg raise
Neurological signs in specific nerve root distribution

9

What can be used in the treatment of resistant lower back pain?

TENS - transcutaneous electrical nerve stimulation
Works via gate theory

10

What are the steps in looking at a cervical spine image?

Adequacy/alignment
Bones
Cartilage
Dense soft tissues

11

What should be checked for alignment in a lateral cervical spine image?

Anterior aspect of vertebral body - anterior longitudinal ligament
Posterior longitudinal ligament
Spino laminar line
Spinous process line