Flashcards in Lumbar III Deck (36):
1
What is discoenic pain
Pain that results from disc issues. Presents with pain with flexion or extension
2
What is facetogenic pain?
Pain resulting from facets.
3
What is the most common cause of LBP?
soft tissue strain
4
Mot lumbar injuries are due to what?
segmental dysfunction
5
What are the tissues in the back that generate pain? (6)
Muscles
Ligaments
Nerves
Fascia
facet joints
discs
6
the QL can cause what SD (supposedly)?
Upslip of an innominate
7
When does the iliolumbar ligament develop?
3rd decade of life
8
What is spondylitis?
Inflammatory condition of the spine (ankylosing spondylitis)
9
What is spondylosis?
Degenerative condition of the spin (osteoarthritis)
10
What is spondylolysis?
Fracture of the pars interarticularis
11
What is spondylolisthesis?
Forward slipping of the superior vertebra on the inferior
12
What are the 5 common congential dysfunctions of the spine?
Spondylolysis
Facet tropism
Lumbarization
Sacralization
Spinabifidia occulta
13
What is facet tropism?
Articular pillars on one side may be twisted
14
What is lumbarization?
congential defect in which S1 is separate from the sacrum
15
What is sacralization?
fusion of L5 with the sacrum
16
What is spinal bifida occulta?
Lack of fusion of the lamina of the lumbar spine, without nerve involvement
17
What are pain symptoms of the QL?
pain with turning over in bed
Unable to bear weight
cough or sneeze painful
18
Where is the pain referral patterns of the QL?
SI and buttock
Hip and greater trochanter
Abdomen
Groin
19
Pain with bending forward or backward is indicative of discogenic or facetogenic pain?
Discogenic
20
Pain with bending walking downhill is indicative of discogenic or facetogenic pain?
Facetogenic
21
Pain with sitting too long is indicative of discogenic or facetogenic pain?
discogenic
22
Pain with bending walking up stairs is indicative of discogenic or facetogenic pain?
discogenic
23
What are the three stages of the degenerative cascade model?
I = dysfunction development
II = develop laxity
III = stabilization/stenosis
24
What is the most common congenital dysfunction in the lumbar spine?
Facet tropism
25
What are the 5 red flags for back pain?
1. CA
2. +50 yo
3. >1 month of pain
4. Nighttime pain
5. Unresponsive to therapies
26
What are the two initial goals of the PE?
R/o red flags
Diagnose pathology or etiology
27
Where are the points of tenderness for LBP?
Half in back, half in front
28
Is S/CS a direct or indirect technique?
Indirect
29
Anterior tender points correlate with what SD? What is the treatment used?
Flexed SDs, therefore flexion the lumbar spine for treatment
30
Posterior tender points correlate with what SD? What is the treatment used?
Extended SDs, therefore extension the lumbar spine for treatment
31
What is the AL1 tender point?
Just medial to the ASIS
32
Where is the AL2 tender point?
Medial aspect of the AIIS
33
Where is the AL3 tender point?
Lateral aspect of the AIIS
34
Where is the AL4 tender point?
Inferior aspect of the AIIS
35
Where is the AL5 tender point?
On anterior, superior aspect of the pubic ramus just lateral to the symphsis
36