Back and joint pain Flashcards
Causes of vertebral tenderness
Cancer
Infection
inflammation
Causes of vertebral tenderness
Cancer
Infection
inflammation
Why use NSAIDs in back pain as first line
Paracetemol not effective on its own
Adjunct perscribe with paracetemol for back pain
Hydrocodone
What is spondylothiasis?
One spinal vertebrae slips onto the next and causes lower back pain. Not the same as a slipped disc
Causes of spondyliothiasis
Wear and tear (degenerative)
Gaps in the bone or deformed parts of the bone (isthmic or lytic)
Infection or tumour affecting the bone (pathological)
Abnormally shaped bones from birth (congenital)
Injury such as a road traffic accident (traumatic)
Symptoms of spondyliothesis
Pain in the spine
Pain, pins and needles, numbness or weakness due to pressure on nerve roots (running down the legs or arms)
Difficult walking due to pain or a feeling of clumsiness
Treatment of spondylisthesis
Pain killers
Physio
Bracing
Injections
Surgery
Complications of Retrolithesis
spinal cord compression - cervical spondylotic myelopathy
Causes of joint pain
Arthritis - septic, osteo, rheumatoid
Gout
Osteophytes
Dislocation
Subluxation
Trauma
A patient has stiffness for less than 30 minutes in the morning and it gets better on movement. Which arthritis is this?
Rheumatoid
Neck pain causes
C-spine fractures, Meningitis, spondylothiasis, MSK
Which disease are charcods joints seen in?
Diabetes
What is a charcod joint?
Neuropathic arthropathy
Progressive degeneration of a weight-bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity due to loss of sensation. Onset is usually insidious.
Tests for confusion
4PT
AMT
