Low Back Pain & Associated Syndromes Flashcards

(40 cards)

1
Q

What is Low back pain?

A

Pain related to the area between the lower ribs & the gluteal folds with/without neuropathic pain in one/both legs

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2
Q

What is the definition of low back pain?

A

Pain between lower ribs and gluteal folds, with or without leg neuropathic pain.

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3
Q

How many people globally live with back pain?

A

Estimated 619 million.

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4
Q

What is the leading global cause of disability?

A

Low back pain.

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5
Q

Which MSK condition has the highest global prevalence?

A

Low back pain.

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6
Q

Who is more affected by low back pain: men or women?

A

Women.

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7
Q

When does low back pain peak?

A

In mid-life.

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8
Q

What is the duration for acute LBP?

A

1 day to 6 weeks.

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9
Q

What is the duration for subacute LBP?

A

6 to 12 weeks.

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10
Q

What is the duration for chronic LBP?

A

12 weeks or more.

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11
Q

When is LBP considered recurrent?

A

When a new episode occurs after 6 months symptom-free.

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12
Q

What characterizes inflammatory back pain?

A

Worse in morning, wakes at night, improves with movement.

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13
Q

What condition is inflammatory LBP mainly seen in?

A

Axial spondyloarthritis.

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14
Q

What characterizes mechanical back pain?

A

Worse at end of day, often lumbar spondylosis.

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15
Q

What is specific LBP?

A

LBP from identifiable causes like trauma, malignancy, infection & inflammation.

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16
Q

What is non-specific LBP?

A

LBP without a specific diagnosis; likely from multiple spinal tissues.

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17
Q

What are neurologic LBP syndromes?

A

Lumboradiculopathy, foraminal stenosis, neurogenic claudication.

18
Q

What are common symptoms of LBP?

A

Pain, stiffness, paraesthesia, numbness.

19
Q

Do most acute LBP cases need medical attention?

A

No, most resolve spontaneously.

20
Q

What are yellow flags in LBP evaluation?

A

Psychosocial risks for chronic pain and disability.

21
Q

What should be ruled out in acute LBP?

A

Hip pain, greater trochanteric syndrome, sacroiliitis.

22
Q

What is neurogenic claudication associated with?

A

Central canal stenosis.

23
Q

Which LBP type improves with movement?

A

Inflammatory.

24
Q

Which LBP type worsens during the day?

25
What areas might refer pain causing specific LBP?
Spinal structural lesions or infections.
26
What conditions should be ruled out in patients with acute LBP?
Hip pain Greater Trochanteric pain Syndrome Sacroilitis
27
Management of LBP
Physical rehabilitation Counselling on proper posture Pharmacological therapy Drugs Surgery
28
What is Diffuse Idiopathic Skeletal Hypersotosis?
It is characterized by ossification of enthesis and spinal ligaments
29
DISH mainly affects what gender?
Male
30
DISH is usually associated with what conditions?
Obesity DM Dyslipidemia Hyperuricemia
31
What is the most common symptom of DISH?
Back pain & Stiffness
32
What criteria are used in diagnosis of DISH?
Resnick & Niwayama Criteria
33
Management of DISH
Pain Management Rehabilitation
34
Define Lumbar radiculopathy
Lumbar radiculopathy is a condition where a nerve in the lower back gets pinched or irritated, causing pain that travels from the lower back or buttock down the leg.
35
Lumbar radiculopathy is also called?
Sciatica
36
What is the most common cause of Lumbar radiculopathy?
Disc Herniation
37
Clinical features of Lumbar radiculopathy
Pain radiating to the back of the thigh & below the knee Paraesthesia Cramps
38
Treatment of Lumbar radiculopathy
Bed rest Treat LBP & Neuropathic Pain Rehabilitation
39
What is Neurogenic Claudication?
It is a Pathognomonic symptom that suggests the presence of spinal stenosis
40
Neurogenic Claudication is characterized by?
Pain when walking which regresses on sitting down or bending the body forward