LUMBAR/SIJ Flashcards
(3 cards)
NSLBP
Red flags
- Claudia equina; bladder/bowel dysfunction, saddle numbness
- cancer; recent weight loss and PHX cancer
- infection/spinal abscess; IV drug abuse, fever, chills
- fracture; recent trauma or over 55 yo
- spondy; pn unrelieved by rest, phx repeated exn
lumbar facet joint
- local pn i facet joint area
- bending forward while lifting
disc related
- fwd bending
- slump test
- straight leg raise
Hyper mobility
Spondylolysis; unilateral pn
Spondylothesis; bilat pn
TX
- desentise pnful areas by what ct thinks helps
- reintroduce movements ct deems safe
- load, graded exposure
Mackenzie principle to find directional preference
PX
Glute bridge
Plank/ side plank
Bird dog, pelvic tilt
Radicular syndrome LL
Radiculopathy; numbness, tingling, weakness down legs into foot
Radicular pn; more pn in legs than back
Spinal stenosis; relived by sitting, lying, pn with fatigue and clumsiness
TX
*NSAID pn relief
Mackenzie
Stenosis: posture control to reduce lordosis, pelvic titis , glute bridge
SIJ // Pelvic girdle pn
Pregnant or mechanical overuse
Symptoms
- pn on SIJ and or pubic symphysis
intermittent pn
resting decrease pn,
Pn unequal weight bearing
SIGNS
SIJ pn- positive cluster lasletts
Pubic symph; Pos active straight leg raise, pn palp
TX
Self resolving
Pelvic belt
Avoid SL, split stance, rotation
Ex px
Bird dog, pelvic circles, cat cow,
Mobility-Stretch adductor, ham, glute , HF
Strength muscles that support pelvis ( adductor and obliques glutes ect )
