Flashcards in clinical approach to back pain Deck (10):
where is hip disease referred to?
where is diaphragmatic irritation referred to?
what Is the definition of mechanical back pain?
Pain secondary to overuse of a normal anatomical structure or pain secondary to trauma or deformity of an anatomical structure
what are clinical features of mechanical back pain?
varies with posture and activity
what are clinical features of nerve root tension causing back pain?
unilateral leg pain> back pain
radiation to below knees
numbness and parathesia
signs of nerve irritability
motor, sensory and reflex changes
what are clinical features of inflammatory back pain?
- more common in mals
- slow onset of symptom
- morning stiffness that gets better with activity
- usually the axial skeleton
- extraskeletal features such as uveitis, CVS
what clinical features can indicate serious spinal pathology?
constant, progressive and non mechanical
systemic symptoms of weight loss and unwell
- widespread nerve root signs
what is the general management of inflammatory back pain?
disease modifying drugs (methotrexate, sulphasalazine)
what do you not offer in the NHS for back pain?
imaging in a non specialist setting