Common Low Back injuries Flashcards
Cause of muscle strain
Acute injury or cumulative stress
Symptoms of muslce strain
Diffuse, achy pain. Stiff and tight muscles, especially with certain movements. Rest relieves the pain
Signs of muscle strain
Restricted ROM and point tenderness. Passive movements are not usually painful until at full stretch.
Causes of ligament sprain
Acute injury or cumulative stress
Symptoms of ligament sprain
Localized pain which is sharp in certain movements.
Signs of ligament sprain
Active and passive movements are painful, but resisted in not.
Grade I sprain
Stretching or mild tear of the ligaments. Includes little or no joint instability.
Grade II sprain
Incomplete tear with some looseness in the joint.
Grade III sprain
Completely torn or ruptured ligament. Can be mistaken for a broken bone because the joint is unusable.
Causes of facet joint dysfunction
Poor posture, muscle imbalance or hypertonicity which leads to fatigue, subluxation, fixation or an entrapped meniscoid.
Symptoms of facet joint dysfunction
May be painless, but may also radiate to the groin, gluteals and thighs.
Signs of facet dysfunction
Decreased extension, side bending and rotation. Potentially palpable in the form of displaced bony anaotomy.
Cause of Si joint dysfunction
Trauma or repetitive twisting.
Risk factors for SI joint dysfunction
Leg length discrepancy, muscle imbalance sustained muscle tightness.
Signs of Si joint dysfunction
Pelvis misalignment, subluxation, innominate rotation, flares, sacral dysfunction and positive Patrick’s test.
Causes of piriformis syndrome
Hypertonic piriformis, often due to excessive sitting, SI dysfunction or pelvic obliquety.
SI joint dysfunction symptoms
Pain in the gluteals, groin and posterior thigh. Can also radiate below the knee.
Signs of piriformis syndrome
Decreased coxal ROM. Increased pain during medial rotation.
Symptoms of piriformis syndrome
Pain when climbing inclines or when seated. Pain in the midline of the buttock which radiates to the posterior thighs.