back pain Flashcards
Diagnostics
X-Ray MRI (magnetic resonance imaging) CT (computed tomography) Myelogram Bone scan Nerve conduction studies/Electromyography
Scoliosis
With or without twisting
Soft tissue contractures
surgery
born with or acquired
braces, lateral support, cushioning
Kyphosis
Prolonged stooped posture
May follow boney damage
yoga, tai chi
lordosis
From forward tilting of pelvis
Poor posture
Obesity
Pregnancy***
strengthen abs/paraspinals
weight control
stenosis
Narrowing of spinal Canal
Nerve root compression
Sensory/motor SX’s
Lead to sciatica
disc diease
Osteoarthritis
Disc bulges or Ruptures
Common in lumbarspine
cervical pain
Due to trauma or arthritis Hyper ext. or flexion Hyper lordosis Nerve entrapment Facet impingement Foraminal closure
shooting pain
tumors
Small % of cases
Primary or secondary
Motor and sensory signs
Ankylosing Spondylitis
Ossification of spinal ligaments
Stiff SI joints
flexibility exercises, stretching, morning warm up
Muscular Back Strain
Most common cause of LBP
Results from specific incident or accumulation of poor posture and poor body mechanics
back pain sx
incontinence, trouble urinating, poor balance, leg weakness or numbness
Occupational Therapy
ADL’s, work, leisure tasks Patient education- body mechanics Job site visit Adaptive equipment: DME Strengthening ROM Relaxation training compensatory strategies flexibility CAMS habits, and routines
acute
sudden, lasts
recurrent
frequent episodes of acute LBP
Chronic
lasts > than 3 months
