Spine

Question 1

How do you treat an acute cervical sprain

Answer 1

1-2 weeks in a soft collar with short course pain meds, NSAIDs, muscle relaxants, heat/ice, physical therapy, massage

Can take up to 6-12 months to resolve

Question 2

How do you treat cervical radiculopathy

Answer 2

NSAIDs, PT

Neuro deficit needs a referral to specialist

Question 3

How do you treat cervical degenerative disc disease?

Answer 3

NSAIDS, PT, surgery

Question 4

How do you treat a low back strain

Answer 4

Avoid physical activity
NSAIDS/tylenol
avoid narcotics, muscle relaxers, steroids
PT
No improvement after 4 weeks = referral to specialist

Question 5

How do you treat a degenerative disc disease?

Answer 5

NSAIDs, avoid narcotics, treat mood disturbances with antidepressants, PT, weight loss, tobacco cessation

Return to activity, refer to pain management

Question 6

How do you treat lumbar radiculopathy?

Answer 6

NSAIDs, steroids/ESI up to 3 in 6-12 month period, pain meds, rest/PT, surgery

Question 7

How do you treat spinal stenosis?

Answer 7

NSAIDs, steroid dose pack/ESI, PT/water therapy

Surgery

Question 8

How do you treat degenerative spondylolisthesis?

Answer 8

Activity modification, NSAIDs, bracing/orthoses, surgery

Question 9

How do you treat adolescent spondylolisthesis/spondylolysis?

Answer 9

Rigid bracing/rest

Refractory = surgery

Question 10

Is cauda equina syndrome a surgical emergency?

Answer 10

Yes

Question 11

scoliosis tx

Answer 11

NSAIDs, PT, surgery

Bracing