Flashcards in Lumbar III Deck (36):
What is discoenic pain
Pain that results from disc issues. Presents with pain with flexion or extension
What is facetogenic pain?
Pain resulting from facets.
What is the most common cause of LBP?
soft tissue strain
Mot lumbar injuries are due to what?
What are the tissues in the back that generate pain? (6)
the QL can cause what SD (supposedly)?
Upslip of an innominate
When does the iliolumbar ligament develop?
3rd decade of life
What is spondylitis?
Inflammatory condition of the spine (ankylosing spondylitis)
What is spondylosis?
Degenerative condition of the spin (osteoarthritis)
What is spondylolysis?
Fracture of the pars interarticularis
What is spondylolisthesis?
Forward slipping of the superior vertebra on the inferior
What are the 5 common congential dysfunctions of the spine?
What is facet tropism?
Articular pillars on one side may be twisted
What is lumbarization?
congential defect in which S1 is separate from the sacrum
What is sacralization?
fusion of L5 with the sacrum
What is spinal bifida occulta?
Lack of fusion of the lamina of the lumbar spine, without nerve involvement
What are pain symptoms of the QL?
pain with turning over in bed
Unable to bear weight
cough or sneeze painful
Where is the pain referral patterns of the QL?
SI and buttock
Hip and greater trochanter
Pain with bending forward or backward is indicative of discogenic or facetogenic pain?
Pain with bending walking downhill is indicative of discogenic or facetogenic pain?
Pain with sitting too long is indicative of discogenic or facetogenic pain?
Pain with bending walking up stairs is indicative of discogenic or facetogenic pain?
What are the three stages of the degenerative cascade model?
I = dysfunction development
II = develop laxity
III = stabilization/stenosis
What is the most common congenital dysfunction in the lumbar spine?
What are the 5 red flags for back pain?
2. +50 yo
3. >1 month of pain
4. Nighttime pain
5. Unresponsive to therapies
What are the two initial goals of the PE?
R/o red flags
Diagnose pathology or etiology
Where are the points of tenderness for LBP?
Half in back, half in front
Is S/CS a direct or indirect technique?
Anterior tender points correlate with what SD? What is the treatment used?
Flexed SDs, therefore flexion the lumbar spine for treatment
Posterior tender points correlate with what SD? What is the treatment used?
Extended SDs, therefore extension the lumbar spine for treatment
What is the AL1 tender point?
Just medial to the ASIS
Where is the AL2 tender point?
Medial aspect of the AIIS
Where is the AL3 tender point?
Lateral aspect of the AIIS
Where is the AL4 tender point?
Inferior aspect of the AIIS
Where is the AL5 tender point?
On anterior, superior aspect of the pubic ramus just lateral to the symphsis