Back and Spine Flashcards
Most common low bck disc herniation
L5 - S1
S/S of L5 - S1 herniation
Lateral and posterior thigh and led pain
Pain improves in supine position
Numbness and tingling in same dermatomes
L5 - S1 exam
Positive straight leg raise (strong correlation)
Cross leg raise
Abnormal gait
Conservative herniation tx
PT NSAIDS Oral steroids Muscle relaxants Most cases will resolve with this
Population for disc herniation
Younger adults
Spinal stenosis population
Over 50
Spinal stenosis patho
Facet hypertropheof vertebrae
Disc degeneration
Osteophytes
Spinal Stenosis S/S
BIlateral neural claudication
Exacerbated by standing erect, downhill ambulation.
Alleviated with lying down, forward flexion
Motor and sensory abnormalities
Neural vs Vascular claudication
Neural is not exacerbated by biking, vascular is
Exercise is not a factor in neural
Degenerative Disc Dz (DDD)
Disc dries out and loses shock abs effect.
Trauma, smoking, heredity
DDD S/S
Pain in low back/buttocks
Increased pain w/ mechanical activity
Disc space narrowing
Decreased ROM
DDD Tx
NSAIDs
PT
Cauda equina syndrome
Caused by trauma, cord injury,compression
Urinary retention, neurogenic bladder
EMERGENT
Ankylosing spondylitis is considered sero?
Seronegative
Bamboo spine =
Ankylosing spondylitis
