Flashcards in Musculoskeletal DISORDERS Deck (98)
affect the human body's movement or musculoskeletal system
What are the causes of lower back pain?
-poor body mechanics
-bulging vertebral disc
-compression of sciatic nerve
-vertebral disc degeneration
What is the best way to diagnose lower back pain?
Signs and Symptoms
When is lower back pain considered acute?
< 3 months
When is lower back pain considered chronic?
> 3 months
What s/s are used to diagnose lower back pain?
pain radiating through sciatic nerve from the back, through the buttocks, and down the leg
-from a pinched nerve
When are diagnostic exams used for lower back pain?
after 3-4 weeks
What diagnostic exams may be used for lower back pain?
What will an x-ray show?
fractures, dislocations, degeneration, and deformities
ruptured disc, spinal stenosis, vertebral damage
infections, bone tumors
problems with spinal nerves
What conservative treatments are used for lower back pain?
What pain medications are used for lower back pain?
-Epidural Steroid injections
Epidural Steroid Injections
injection of a steroid around the membranous sac covering the spine to reduce inflammation
How often may an epidural steroid injection be given?
3 within a 6 month period
What are some side effects of epidural steroid injections?
-spinal headache, bleeding, or nerve damage
-may cause a weakening of spinal bones and closely related muscles
How should a person with lower back pain get out of bed?
Roll, keeping the back straight
What are two ways a person with lower back pain may lay down?
-lateral lying "curled" position
-using pillows while on back to elevate head 30 degrees and help flex the knees
What should you tell the patient with lower back pain about resuming activities?
-resume slowly as pain decreases
-avoid activities w/ excessive strain on back
-reduce weight if needed
When may a person with lower back pain require surgery?
-if pain becomes severe
-lasts longer than 6-12 weeks
-ability to function is affected
relieves the pressure on the spinal nerve root by removing the material causing the pain
removal of a small portion of the bone over the nerve root/disc material form under the nerve root to give it more space and relieve compression
What should you educate the patient on after lower back pain surgery?
-Use straight back chairs
-NO stomach lying
-NO bending, lifting, or twisting for 6 weeks
-NO driving until off meds
-NO stairs for 1 week post op and then w/ assistance
Inflammation of the bursae
-fluid filled sac b/t bones
bone to bone
muscle to bone