Low Back Pain

Question 1

most common cause of LBP

Answer 1

mostly from muscle strain or SD

Question 2

cauda equina syndrome

Answer 2

medical emergency
need to be sent to the ER
spinal n. root compression L1-S5 normally due to massive disc protrusion, fx, or tumor that causes bowel or bladder dysfunction

need to surgically decompress ASAP

Question 3

pain above the knee

Answer 3

direct injury to a specific area
Sd
degenerative dysfunction

Question 4

pain below the knee

Answer 4

radiculopathy
spinal stenosis
cauda equina syndrome
associated piriformis syndrome (can pinch the common fibular n.)

Question 5

most likely location for disc herniation

Answer 5

#1 b/w LV5 and SV1 (compresses S1 n root) 
#2 b/w LV4 and LV5 (compresses L5 n root)

Question 6

L4

Answer 6

Motor to TA
Patellar tendon reflex
sensory to medial foot

Question 7

L5

Answer 7

EDL
no reflex
sensation of medial foot

Question 8

S1

Answer 8

motor to peroneus longus
Achilles tendon DTR
sensation to lateral foot

Question 9

tx for acute HNP

Answer 9

NO HVLA or ME
use indirect techniques
treat distally first

Question 10

Subacute or chronic HNP

Answer 10

may use some direct treatments as pt may be able to tolerate more
still use MFR, OA etc