Discogenic lower back pain Flashcards

1
Q

what is DLBP?

A

pain from the stimulation of pain-sensitive afferents within the annulus fibrosis of intervertebral disc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what would a patient present with? 5

A
  1. low back pain without radicular lower limb symptoms
  2. sitting intolerances
  3. pain on spinous process palpation
  4. pain bending forward
  5. pain coughing/sneezing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MOI 3

A
  1. due to trauma or deterioration due to ageing
  2. bent over flexed and twisted lifting something heavy
  3. nucleus pulposus migration resulting in a directional preference
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

population 5

A

weightlifters
gymnasts
golf
cycling
ageing population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Imaging to confirm diagnosis 2.

A

MRI or discography (dye inserted into disc to make visible under fluoroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

non invasive approach 7

A

Medication
- anti-inflammatory drugs, anti-depressants, opioids
Physiotherapy
- ultrasound, TENS, massage, strengthening lower back and abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

exercises 5

A
  • Pelvic tilt
  • Knee to chest
  • Lower trunk rotations
  • Extensions Mckenzie
  • birddogs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

advice

A

back friendly bodyweight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

advice

A

back friendly bodyweight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

reference info

A

The causes of discogenic pain and late IVD degenerative changes are also multifactorial and can vary from mechanical overloading, oxidative stress, metabolic disorders, and genetics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

reference person

A

Vergroesen et al 2015

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Internal Disc Disruption (IDD) 4.

A
  1. disc tears or cracks (fissure)
  2. allowing the nucleus pulposus to meet the annulus fibrosus.
  3. a chemical called a protecogylcan may be released from the nucleus pulposus.
  4. Protecoglycans may irritate the annular nerves causing an inflammatory response and pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly