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Flashcards in lower back pain non surgical Deck (53):
1

zygoepophyseal joints are lined by hyaline cartilage cartilage

medial branch of the dorsal ramus

2

PAravertebral symptoms as a dull ache from

zygoepophyseal joints

3

STability and mobility formed from

Intervetebral joints

4

Sitting jumping allowed because of what's ability to accomodate pressure

nucleus pulposus

5

type 1 fibers

Annulus fibers

6

Annulus fibers tear at the outer 1/3

sinuvertebral nerve causes the pain

7

The nucleus exits into the spinal column because of a tear of the

annular fibrosus

8

hat inverates the ventral side o the body and loer extremity?

Ventral rami

9

Neural tissues compresseD: senory root

radiating numbess tingling pain

10

motor/ventral root= weakness

motor weakness

11

Spinal nerve compression

combination of symptoms

12

spinal cord compression

LE symptoms in non dermatomal patterns of symptoms

13

Power muscles

trunk motion

flexion extsnion

global stability to the trunk

14

Segmental muscles (spinal to spinal or spinal to trasnverse)

as we flex forward, the segmental anteriorly. Too much= shear force

15

what happend to the global muscle in rsponse to injury?

hypertonicity to prevent much movement of the trunk

16

deep muscle does what in response to injury

hypotonic.

17

number one factor of lower back pain

genetics

18

peak age for LBP

30-40 and lower in life

19

Non specific LBP

disc dysfunction

facet joint dysfunction

instabilities

20

Discogenic pain

Disc degeneration (anulus turns to type II fibers can't resist tensile forces)

and disc herniation

21

disc degeneraton pain

localised axial pain

back and forth trunk motion, excessive segmental motion

22

disc herniation

anulus breaks

back and leg pain Nt

23

what age would you see disc herniation

20-55 because nucleus is still viscos

24

Pain associated with numbness and tingling

radiculopathy

25

disc herniation radicular symptoms

increased pain with forward flexion, sitting and driving, cough and sneeze

26

decreased pain with radicular symptoms?

lying, unloading, standing

27

unguarded sudden motion causes a mehcnical block known as

Acute facet lock

symptoms dissipate within a week

28

Dull achey pain comes on after sustained posture and lock of mobility

trauma or arthritis

29

Whats the main area of the vertebral that can cause strutural issues related to spinal instability?

Pars interarticularis: area of the neural arch the bridge superior and inferior vertebral processes

30

stress fracture of the pars interarticularis

spondylolysis but not anterior displacement

31

spondylolistesis is complete breakade leading to what slippage?

anterior slippage

32

Spinal stenosis is narrowing of the

central canal or IV foramina can cause spinal cord compresion

33

Shopping cart sign

opens the posterior processes to take pressur off the spinal cord in stenosis

34

muscle spasms at night

Spinal stenosis

35

Stenosis start with what tx

conservative

36

persistent night pain, 50+ with no hx of back pain

cancer

37

Signs and symtoms of cauda equina

saddle numbness tingling

bowel/bladder dysfunction

severe back pain

motor weakness

foot drop

decreased reflexes

positive straight leg raise

38

Ataxic gait, spasticity, positive Babinski, hyperreflexivitybowel and bladder changes

Cauda equina

39

Central area dull achey

Axial (disc, vertebral bodies, c-fibers, lig and facet joint) with conservative tx

40

Dermatomal radiating pattern, narrow sharp, electric, numbness, tingling,

Radicular (conservative/surgical tx)

This is a nerve root issue that could be cauda equina compression

41

Dermatomal radiating pattern, narrow sharp, electric, numbness, tingling,

Radicular (conservative/surgical tx)

This is a nerve root issue that could be cauda equina compression

42

Prone pressure-ups

increased pain: facet dysfx and stenosis

decrease pain with disc herniation centralization

43

L1 sensory

groin

44

L2 sensory and motor

Anterior proximal thigh

45

L3

Medial thigh and knee

46

L4

Lateral aspect of the knee and medial distal leg

47

L5

dorsum of the foot

48

S1

lateral foot

49

S2

medial heel

50

S2

medial heel

51

pain within 40-50 degrees leg raise could indicate

sciatic or nerve root irritation

52

slump test test stretches the

dura mater

53

ligament test for

check for structural instability