Back Pain Flashcards

1
Q

Which syndrome is this?

leg pain 
sharp, shooting pain 
radicular 
worse on stretch 
better on lying with bent knee
A

Sciatica

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2
Q
Back pain 
worse by walking 
better going up hills 
chronic bladder/bowel problems 
gradual leg weakness
A

spinal stenosis

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3
Q
back or leg pain 
bilateral sciatica 
bilateral leg weakness 
acute bladder/bowel problems 
perineal numbness
A

cauda equina

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4
Q

What is the investigation of choice to diagnose back pain?

A

MRI

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5
Q

What drugs can be used to treat nerve pain?

A

(pregabalin)
gabapentin
amitriptyline

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6
Q

What are options for treatment in back pain?

A
analgesia + NSAIDs
physio 
injections 
laminectomy 
fusion 
decompression
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7
Q

What conditions are decompression treatments particularly useful for?

A

focal nerve root compression e.g. prolapsed disc

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