Conditions of all spine Flashcards
Misc= Effect of OA on spine
- presents as…
Osteophytes may form & press on nerve,
may lead to palsy (muscle weakness) on myotome
(presents as bad ache in affected area)
Misc= when is weight loss a red flag, how severe. What could it indicate
10% of body mass in 3 months without trying
- cancer
Any= Ankylosing spondylitis
– what
– 3 symptoms
– 2 treatment
- what= inflammation of bones between vertebrea
- symptoms= LBP increasing with lack of activity, <45yo, morning stiffness
- rx= NSAIDs, stretches to increase spinal mobility
Cx= Red Flags for Cx Sp
5Ds
1. Diplopia (Double Vision)
2. Dysarthria (Slurred speech)
3. Dysphasia (swallow issues)
4. Drop Attacks
5. Dizziness
3Ns
- Nystagmus (eye flickering, uncontrollable)
- Numbness (around mouthl)
- Nausea
1H
- headache >24hrs ( not resolved with meds)
Cx= what is diplopia
double vision
Cx= what is dysARTHRIA
slurred speech
Cx= what is dysPHAGIA
issues swallowing
Cx= what is nystagmus
uncontrolled flickering of eye
Cx= what is syncope
fainting
Cx= what age groups do “cervical disc dysfunctions” appear most in
30-50
Cx= what is Cervical Myelopathy vs Radiculopathy
Disc herniation
MYELOPATHY
- medical emergency
- presses on spinal chord (posterior)
- in lumbar spine= cauda equina
RADICULOPTAHY
- physios can treat
- lateral prolapse, presses on nerve root
Cx= risk fac. for cx radiculopathy (6)
45-65
smoking
mental stress
frequent lifting/ strenuous activity
driving
desk based work
Cx radiuclopathy- symptoms, tests
Weiners cluster
Unilateral arm/finger pain > neck pain
(follows dermo. pattern)
Pain and Numbness/parasthesia
Misc= OA diagnostic tool name
Kellgren Lawrence scale
Cx zygapophyseal joint dysfunction
- 6 causes
CAUSES
- degenerative OA
- inflammatory OA
- trauma
- Subluxation of joint
- spine deformity
Cx zygapophyseal joint dysfunction
- 4 symptoms
SYMPTOMS
- neck pain
- limited ext and rotation (same side as injury)
- tender on palpation
- radiates to shoulder/ upper back
Cx= Whiplash disorder
- follows what movement of neck
- may also have – conditions
- symptoms
follows SUDDEN excessive ext/flexion/rotation
may have: cord compression, nerve root damage, subluxation, fracture
moderate pain appearing 1-2 days after incident
Cx= Whiplash classification
0= no symptoms
1= stiffness
2a= stiffness, tenderness
2b= stiffness, tenderness WITH ROM restriction
3= pain, reduced ROM, neuro symptoms
4= neck fracture/ dislocation
T4 Syndrome
- what
- due to
2 tests
- HYPO mobility at T4
- unaccustomed lifting/ new job responsibilities
- ULTT
- Slump test
Thx capsular pattern
Equal loss of SF and Rotations
Minimal loss of extension
Lx= Sciatica
– what
– main symptom
– 3 treatment
- what= compression of sciatic nerve
- symp= pain/numbness/weakness in 1 leg (location depends on nerve compression site)
-rx: NSAID, stretching lumbar spine, hot packs
LX= Spinal Canal Stenosis
- type of cond
- what
- symtoms
- test
- degenerative
- reduced space for neural and vascular elements in lx spine
- persistent, heavy pain in low back
- referred pain in legs
- reduced pain in: resting, sitting, lx flexion
Any= Rheumatoid arthritis
– what=
– where most often=
–3 symptoms=
– 3 treatment=
– what= autoimmune disease leading to joint instability
– where most often= cx spine, C1-2
– symptoms= pain, headache, tingling in fingers
– treatment= surgery, NSAIDs, low intensity exercise such as water aerobics
Cx= CAPSULAR conditions of cx spine
- Degenerative OA
- Inflammatory Arthritis
- Traumatic Arthritis
