approach to patient with lower back pain

Question 1

what is the most common cause of disability in people below the age of 45 ?

Answer 1

low back pain

Question 2

what are the red flag signs that could be associated with low back pain ?

Answer 2

acute urological deficit
acute motor weakness
blood pressure drop
absent peripheral pulse

Question 3

what is the difference in the character of pain between inflammatory and mechanical back pain?

Answer 3

inflammatory - increases at rest

mechanical - increases with effort

Question 4

what are the causes of low back pain ?

Answer 4

mechanical 
degenerative joint disease 
psychogenic cause 
post-traumatic 
malignancy

Question 5

what can cause poor peripheral pulses in the lower limb sudden drop in blood pressure, change in color and temperature of the lower limbs ?

Answer 5

ruptured aortic aneurysm

Question 6

what can morning stiffness for more than 30 minutes with difficulty in turning in bed and pain radiating to hips/gluteal region indicate ?

Answer 6

seronegative spondylo-arthropathy

Question 7

Continuous pain worsening with activity ?

Answer 7

mechanical back pain

Question 8

what would the clinical examination of LBP include ?

Answer 8

straight leg raising test
ankle reflexes
dorsiflexion of the ankle and great toe

Question 9

what is schober test ?

Answer 9

asses the lumbar flexion

Question 10

what is the treatment for LBP ?

Answer 10

weight reduction
regular exercises
lift things with proper posture