BCP Non-Specific Lower Back Pain

Question 1

Definition of NSLBP?

Answer 1

MSK pain that we can’t accurately pin on a specific Nociceptive structure

Question 2

A diagnosis of Non-specific LBP rule out more specific diagnoses such as?

Answer 2

• Fractures
• Radicular pain
• Radiculopathy
• Spondylothesis
• Stenosis

Question 3

What are the lifestyle risk factors of non- specific LBP?

Answer 3

• Stress
• Nutrition
• Alcohol
• Physical Exercise
• Sleep
• Smoking

Question 4

What Co-Morbidities are linked to Non- Specific LBP

Answer 4

• Hypertension (High BP)
• Obesity
• Diabetes
• Hyperlipidaemia (high cholesterol)

Question 5

What would you rule out during the assessment for NSLBP?

Answer 5

Hip

Question 6

How would you rule out the hip?

Answer 6

Scour test - move the knee while adding compression

Question 7

Why would we test the movement of the Lumbar spine in the seated position vs stood?

Answer 7

because it limits the amount of other structures influencing the pain provocation

Question 7

what specific tests would be worth using?

Answer 7

Straight leg raise (whole nerve) and cross leg (nerve root) sign to rule out nerve root and nerve as a whole.

Question 8

Why would we ask the client to demonstrate what movements hurt?

Answer 8

Because it shows us how we could modify the movements to make them less provocative

Question 9

NSLBP often reoccurs at what rate and how long are the episodes typically?

Answer 9

2-6 week episodes, with a reoccurrence rate of 69%

Question 10

why is education an important treatment for NSLBP?

Answer 10

• it ensures them is isn’t a serious pathology
• Helps them believe its normal
• it aids the client in knowing what to do and what not to do.
• It helps the client create a positive narrative.

Question 11

How would we utilise exercise for NSLBP?

Answer 11

We would look at aggravating factors and get them to do less of it. So if they exercise lots it might be that we reduce exercise and if they ae=rent exercising at all we may add some exercises.

Question 12

Early Rehab Exercises

Answer 12

• low intensity quadruped pelvic tilt.
• rocking child’s pose
• side to side knee rocking in quadruped position or same but on the back

Question 13

Mid stage rehab exercises

Answer 13

• chair squat/DB squat
• Bird dog
• side dips with weight

Question 14

Late stage Rehab Exercises

Answer 14

Weighted movement or explosive. Either is good
- weighted squats
- weighted good mornings
-Deadlifts
Or
- KB swing
- KB twist
- medicine ball throw