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Flashcards in low back pain Deck (20):
1

6 major anatomical parts of spine

1. bones
2. nerves
3. muscles - intrinsic and extrinsic
4. discs
5. facet joints - 2 for each movement
6. ligaments

2

non-modifiable risk factors for LBP (9)

1. M=F
2. increases with age
3. prior back pain
4. low educ.
5. higher intensity/disability
6. neuro Sx
7. depress
8. anx
9 somatizations

3

6 modifiable risk for LBP

1. BMI
2. smoking
3. poor anerobic endurance
4. ergonomic factors
5. job
6 litigation

4

length of types of LBP

acute - 12

5

main causes of LBP

80-90% mech
5-15 - neuro
1-2 - non-mech spinal
1-2 visceral
2-4 other

6

7 parts to evaluation

1. Hx
2. red flags
3. pain diagram
4. psych assess
5. functional assess
6. physcical exam
7. imaging

7

breakdown of 4 main types

Leg dom - constant or intermittent
Back dom - constant or intermittent

8

5 key questions

1. where is pain the worst
2. constant/intermittent
3. hurt with flexion
4. any loss of bladder/bowel
5. stiffness > 30 min in AM

9

5 red flags

1. neurological problems
2. infection
3. fracture
4. tumour
5. infammation

10

7 yellow flags

1. beleif that act. makes worse
2. relaince on rest/inactivity
3. persistent low mood
4. belief that passive treatment is key
5. work problems
6. bad family dynamic
7. pain catastrophizing

11

part of functional assessment

- work
- ADL, iADLs
- leisure, sex,

12

minimum for PHx

- movement testing flexion
- movement testing extension
- patellar reflex
- great toe flex and ext. power
- plantar response
- passive leg raise
- saddle sensation

13

what is guide for imaging

no CT, x-ray, or MRI unless red flags

14

3 parts to smart goal setting

1. what about pain worries the most
2. what can you do to imrove pain
3. how confident are you that you can improve pain

15

what does SMART stand for

Specific
Measurable
Attainable
Relevant
Time based

16

2 key core exercises and testing

1. prone bridge
2. supine brdge

17

5 key messages to communicate to patient patient

1. there are no red flags
2. imaging is not helpful
3. low back pain often recurs
4. you may need pain meds, but excercise is what will help you recover
5. if you feel sad or anxious it could be from pain and inhibit recovers

18

self care Tx for LBP (3)

1. remain active
2. books
3. heat - acute only

19

pharma Tx for LBP (5)

1. aceto
2. NSAIDS
3. muscle relaxants - acute only
4. benzos
5. anti -dep - chronic only

20

8 non-pharma Tx

1. spinal manipulation
the rest are only for chronic
2. excercise
3. massage
4. acupuncture
5. yoga
6. CBT
7 relaxation

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