Back pain

Question 1

Which IV disc is most likely to rupture?

Answer 1

lumbar discs esp L4/5 and L5/S1

Question 2

what is the presentation of pain in a prolapsed disc?

Answer 2

severepain on coughing, sneezing or twisting a few days after back strain, may radiate to buttock or leg if the herniated nucleus pulposus compresses a nerve root

Question 3

When is a discectomy required with a disc prolepse?

Answer 3

in cauda equina syndrome; progressive muscular weakness or continuing pain

Question 4

When might cause cauda equina in a disc prolapse

Answer 4

if the disc prolapses in the lower lumbar region centrally

Question 5

What causes spinal claudication?

Answer 5

when there is a narrowing of the lumbar spinal canal or its lateral recesses caused by facet joint OA

Question 6

how does spinal claudication present?

Answer 6

pain worse on walking with aching and heaviness in one or both legs causing the person to stop walking- pain improves which leaning forward, pain on extension

Question 7

what is the surgical option for spinal stenossi?

Answer 7

canal decompression and stabilisation (fusion)

Question 8

What is the presentation of facet arthropathy?

Answer 8

stiff in the morning- have to loosen up, are restless and have difficulty sitting and driving. worse with extension and better with activiity. radiates to buttocks and legs