Back Pain Flashcards
What are the difficentals for back pain?
osteoarthritis
muscle strain
hip joint problems
sciatica
osteoporosis
slipped disk
When to refer
disorder of large bowl
dysmenorrhea
renal condition
prostate
UTI
What are some other factors that could be contributing to back pain?
sedentary lifestyle
bursts of activity
pregnancy
poor posture
bad shoes
excess weight
What are some sx of back pain?
tightness in lower back/ muscle spasms
difficultly bending, moving
What questions should be asked about pain
PQRST
Precipitating/palliating
quality
region/radiation
severity
time
How to describe it?
how long
numbness
shooting/dull
level of pain
Neuropathic
Red Flags of back pain
pain located high in spine
trauma
fever/chills
worse when lying down
numbness in bum area
bladder or bowl dys
younger kids/elderly
leg pain> back pain
increasing pain
oral steroid usage
Management strategies
muscle relaxant
analgesics
heat/cold
topical external analgesics
topical diclofenac
back braces
herbals
antidepressant (Rx)
Cyclobenzaprine (Rx)
MOA of topical external analgesics
counter irritation
Main Agent in topical external analgesics
methyl salicylate
What is topical diclofenac
topical NSAID
muscle and joint
use BID/TID
What is cyclobenzaprine
antispasmodic for back pain
Rx (last ditch effect)
What are some herbs used for back pain?
glucosamine
devil’s claw
turmeric
arnica
bromelain
omega FA
