back pain + sciatica Flashcards
lumbago
low back pain
acute low back pain should improve within…
1-2wks
sciatica recovery time
4-6wks
management aims for lower back pain
- identify serious underlying pathology
- speed up recovery
- reduce risk chronic lower back pain
- manage Sx in chronic LBP
caused of mechanical back pain
muscle/ligament sprain facet joint dysfunction SI joint dysfunction herniated disc spondylolithesis scoliosis degenerative changes
causes of neck pain
muscle/ligament sprain
torticollis
whiplash
cervical spondylosis
torticollis
waking up with a unilaterally stiff and painful neck due to muscle spasm
red flag causes of back pain
spinal fracture - major trauma
cauda equina - saddle anaesthetsia, incontinence, bilateral neuro signs
ankylosing spondylitis
spinal infection - fever, Hx IVDU
causes of back pain which are unrelated to spine
pneumonia ruptured AAA kidney stone pyelonephritis pancreatitis prostatitis PID endometriosis
sciatic nerve - nerve roots
L4-S3
sciatic nerve - exitrs posterior pelvis through
greater sciatic foramen
sciatic nerve - divides into
tibial nerve
common peroneal nerve
(at knee)
sciatic nerve - sensory function
lateral lower leg and foot
sciatic nerve - motor function
posterior thigh
lower leg and foot
sciatia - presentation
unilateral buttock pain radiating down leg
paraesthesia
numbness
motor weakness