Back pain (week 8) Flashcards
what does the psoas muscle do?
hip flexion
hip internal rotation
hip adduction
rotate lumbar spine
what does too much sitting lead do
shortened psoas muscle leading to lumbar lordosis
what is ankylosing spondylitis
inflammatory condition
strong association with antigens involved in recognition of self and immune response (HLA-B27)
mainly back pain and joint pain but can affect whole body (systematic)
who is AS more common in
men (L)
what can AS lead to
spinal joints fuse together
what is AS treated with
NSAIDs and/or biologics
what are the features of AS back pain
insidious onset
improves with exercise, worsens with rest
pain at night and in buttocks and hip
which joint does AS start in
sacroiliac joint (sacrum and ilium of pelvis)
AS treatment
exercise and posture training
stop smoking
physiotherapy
NSAIDs
what is lumbar radiculopathy due to
disk herniation
spondylosis due to degenerative osteoarthritis
which vertebrae is most commonly affected in lumbar radiculopathy and what are the symptoms
L5, back pain down lateral aspect of leg into foot
weakness of foot dorsiflexion inversion eversion, toe extension
what are the red flags for back pain
progressive/severe motor deficit
suspected/known cancer
suspected infection
urinary retention
urinary/faecal incontinence
numbness around anus
bilateral symptoms
treatment for mechanical back pain and radiculopathy
keep active
physio referral
NSAIDs
avoid opiates
osteoporotic vertebral fractures - which 2 ways can this happen
slowly over time or suddenly due to coughing/bending/lifting (most commonly)
what will osteoporotic vertebral fractures lead to over time
loss of height, kyphosis
