Lumbosacral Flashcards

(75 cards)

0
Q

number of people off work from lbp per day in us

A

10 mil

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1
Q

manipulations are effective for blank pain

A

acute

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2
Q

us industries lose blank per year from employees with lbp

A

14 bil

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3
Q

lbp is as common in blank workers as blank

A

sedentary, heavy work

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4
Q

highest risk for lbp occupation

A

truck driver

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5
Q

lbp is self blank

A

limiting

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6
Q

percentage of people with lbp better in one week

A

44

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7
Q

percentage of people with lbp better in one month

A

86

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8
Q

percentage of people better in two months

A

92

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9
Q

percent of lbp recurrent

A

90

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10
Q

this originates in the internal organs and stems from a variety of causes. dull and achy pain that can refer somewhere else

A

visceral

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11
Q

herniation of the disc is non synonymous but may be related to blank

A

ddd

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12
Q

age older than blank are more likely to have ddd

A

60

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13
Q

herniations are predominate in blank

A

younger males

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14
Q

herniations often have a blank but could be insidious

A

moi

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15
Q

annular tear is aka blank of a herniated disc

A

fragmentation/joint mouse

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16
Q

derangement that would hurt with flexion

A

posterior

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17
Q

acute blank often results from ivd herniation

A

sciatica

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18
Q

there is often blank of the muscles present with a deviation from an ivd

A

spasm

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19
Q

central or symmetrical pain across l4/5 rarely buttock or thigh pain, no deformity

A

d1

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20
Q

central or symmetrical pain across L4/5 with or without buttock and or thigh pain, with deformity of flat or kyphotic

A

d2

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21
Q

unilateral or asymmetrical pain across l4/L5, with or without buttock and or thigh pain, and with deformity of lateral shift

A

d4

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22
Q

unilateral or asymmetrical pain across l4/5 with or without buttock and or thigh pain, and with pain below knee, no deformity

A

d5

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23
Q

deragnement with pain below knee and deformity of lateral shift

A

d6

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24
deformity of accentuated lumbar lordosis and can be asymmetrical or symmetrical
d7
25
derangement that should not be manipulated because there is blank
d6, pain below knee
26
central symmetrical derangements
1,2,7
27
unilateral asymmetrical symptoms to knee
3,4,7
28
unilateral asymmetrical to below knee
5,6
29
there is an interrelation of blank disease and posterior blank disease
ivd, facet joint
30
djd is most common in the blank
spine
31
more blank segments are more at risk for djd in the spine
mobile
32
late stage ddd where the segment is now stiff and stable less likely acute pain source and has a loss of ROM and stiffness in back
segmental narrowing
33
iv disc narrowing leads to blank changes
posterior facet
34
af bulging creates large blank at bony margins
osteophytes
35
segmental narrowing is present in 90 percent of people over this age
60
36
bony narrowing of the spinal canal either centrally or in its lateral recesses including the intervertebral foramen
spinal stenosis
37
late stage ddd, segment is stiff and stable and less likely acutee pain source
segmental narrowing
38
central canal symptoms would be blank
bilateral
39
segmental narrowing has limited ROM mostly in blank
extension
40
disc space narrowing leads to blank changes as well
posterior facet
41
annulus fibrosus bulging creates large blank at margins
osteophytes
42
bony narrowing of spinal canal centrally or laterally that can include iv foramen
spinal stenosis
43
central spinal stenosis can cause blank compression
cauda equina
44
lateral stenosis causes more blank symptoms
peripheral unilater, LMN
45
protrusion of the disc, osteophyte, lig flavum folding or bulging, djd, congenital narrowing, subperiostial thickening over the vertebral body and laminar arch can lead to blank
spinal stenosis
46
cauda equina related diffuse pain/can be radicular
central stenosis
47
radicular pain is from blank stenosis
lateral
48
spinal stenosis mimics intermittent claudication associated with blank
muscle ischemia
49
stenosis usually tolerates blank while blank doesnt
biking, intermittent claudication
50
extension blank spinal canal space
decreases
51
instability is more likely to have neurological findings and pain with palpation than blank
hypermobility
52
superior vertebrae moves blank and blank during segmental hyperextension
posterior, inferior
53
segmental hyperextension can lead to a sprain or blank
posterior subluxation
54
spur development from segmental instability can cause development of which narrows the joint space
osteophytes
55
pars interarticularis break xray
spondylolysis
56
25 percent displaced
grade 1
57
half vertebrae displaced
grade 2
58
75 % vertebrae is displaced
grade 3
59
grade 2 and grade 3 results in
joint space narrowing
60
spondylolisthesis is more comfortable with blank
flexion
61
spondylolysis is found in blank percent of people
10%
62
forward slippage of one vertebra that results in a step deformity
spondylolisthesis
63
injection of dye into spinal column imaging
myelography
64
costly test for that is good for viewing just about everything
mri
65
for picking up small fractures
bone scan
66
removal of disc
discectomy
67
laminectomy is often used for blank
stenosis
68
invasive but non surgical treatment of back pain
epidural steroid injection
69
same indications as discectomy and laminectomy along with instability from degenerative changes and or trauma
fusion
70
things to keep foramen open after discectomy
titanium cages
71
when large midline disc herniation compresses several roots of the cauda equina
cauda equina syndrome
72
erosion, sclerosing, and fusion of si joints is called
ankylosing spondylitis
73
disease that affects osteoblasts and osteoclasts in patients over 40, present with things like flat lumbar spine, slow gait, bowing legs, hearing loss, tinnitus, vertigo
paget's disease
74
to help page'ts disease, medications can be used to inhibit blank
bone loss