Mechanical Back Pain Flashcards Preview

Rheumatology > Mechanical Back Pain > Flashcards

Flashcards in Mechanical Back Pain Deck (6)
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1

Causes by age

15-30- prolapse disc, trauma, ankylosing spond, spondylothisthesis, preg.
30-50- degen, prolapse, malig.
Over 50- degen, OP, pagets, myeloma, malig, stenosis.
Rare- CE tum, psoas abcess, infec.

2

Causes gen

Musc strain
Disc rupt
Frac
Soft tiss tear
Disc prolapse
Spondylolisthesis
L spine sten
Lateral recess sten

3

red flags

Saddle anaes
Leg sensat change
Incontin
Hx trauma
Under 20, over 55
Alternating sciatica
Weak legs
Morn stiffn
Claudication

4

diffs

Biomechanical
Cauda equina synd
Disc prolapse

5

ix

Bloods- FBC, CRP, ESR, ALP, Ca.
Rarely imaging.

6

Mx

Most recover alone in 6wk
Mobility
Posture
Safe movem
Analgesia
Physio
CT, MRI if req