back pain and sciatica Flashcards
task
explanation
-show concern that he is pain
-slipped disc explain: prlapse herniation nucleus purposes
-happend due to heavy strain
-most recover completely
mx
-adequate rest is necessary : 3-4 days essential
-pain relief : panadine or NSAID
-subsequent physiotherapy and back strengthening exercises
-avoidance manipulation : chiropractic
-positive approach: good recovery within few weeks despite ankle jerk effected
IX
-if doesn’t resolve or have neurologic muscle weakness>MRI best option , CT acceptable, X ray limited information
-Once initial symptoms ease>physiotherapy>stretching arching, active mobilisation exercises
-if lack of resolution>orthopedic, neurologic, rheumatic resoluton
preventive measures
-back education
reassessment
r/v in 2-3 days, very important