Flashcards in Back pain Deck (11):
What are the red flags for malignancy in back pain?
Hx of cancer
What are the red flags for cauda equina syndrome?
Bowel or bladder involvement
What other systems can cause back pain?
Urinary - pyelonephritis
Vascular - AAA
Gastro - peptic ulcer
Which condition gives an abnormal Schober's test?
Ankylosing spondylitis - reduced lumbar flexion
What are the non-invasive treatments for low back pain and sciatica?
Education about red flags
Return to normal activities and avoid bed rest
What is sciatica?
Irritation of the sciatic nerve
What can cause sciatica?
Disc herniation - under 50
Spinal stenosis - over 60
What symptoms and signs are present in sciatica?
Pain shooting down legs
Positive straight leg raise
Neurological signs in specific nerve root distribution
What can be used in the treatment of resistant lower back pain?
TENS - transcutaneous electrical nerve stimulation
Works via gate theory
What are the steps in looking at a cervical spine image?
Dense soft tissues