Back Pain Flashcards
What are the symptoms of back pain?
Tightness, muscle pains
Difficulty bending
Pain
What is neuropathic pain?
Damage to dysfunction of the nerves
What is Nociceptive pain?
Injury to body tissues
What is Sciatica?
Neuropathic pain
Red Flags of back pain
Pain located in high spine
Trauma
Fever chills weightloss
Pain worse when lying down
Numbness in bum area
Bowel/bladder dysfunction
Elderly (If new)
Leg pain
Increasing pain
What redflag situation involves medications and back pain?
Oral steroid usage
What are the OTC prescription analgesics for back pain: Acetaminopen
Acet (4g)
No anti-inflammatory properties
Analgesia
What is the thought process for taking acetaminophen and no improvement of back pain?
If it doesnt help after 2 weeks then move onto other agents
What are the OTC prescription analgesics for back pain: ASA
4g a day
Analgesia
Anti-inflammatory
What are the OTC prescription analgesics for back pain: Ibuprofen
400mg TID
Analgesia
Unknown anti-inflammatory
What are the OTC prescription analgesics for back pain: Naproxen
440mg max
Analgesia
Unknown anti-inflammatory
What are our concerns with NSAIDS again?
Geriatrics
Cardio
GI
Asthma
Renal
What are skeletal muscle relaxants
Riddled with S/E,
Does not appear to be anti-spasmodic
Methocarbamol
What is the dosage of Methocarbamol?
2 Tabs QID
What is Motrin
Ibu 200, Metho 500
What is heat and cold treatment general guidelines?
Cold is recommended for first 48hrs
After its heat
What are our topical analgesics?
Methyl salicylate
Menthol (Greater then 1%)
Triethanolamine
What is Capsaicin?
Used for post herpetic neuralgia and decrease substance P
Post shingles
What is topical diclofenac?
Voltaren
What is product A-535?
Triethanolamine, topical analgesic
What is Cyclobenzaprine?
Blocks nerve impulses, MD prescribe
Side effects associated with Benzaparine?
Drowsiness, dry mouth, fatique
