Low Back Pain Flashcards
Pain that is sharp, burning, and radiates from the buttock to the posterior thigh, posteriolateral leg, and lateral foot is indicative of ________.
Lumbar disk protrusion (causing lumbar radiculitis at S1)
Shopping cart sign or “Wal-Mart” sign is associated with ________.
Lumbar spinal stenosis (flexing the spine opens the vertebral canal)
If any of the vertebrae are affected with a psoas dysfunction, they are usually flexed with their rotation and sidebending ________ the side of the tight psoas.
Towards
In a patient that has lower back pain (consolidated to one side) that gets worse throughout the day and with prolonged standing, is relieved by rest, and has no other issues, you should be thinking about a ________.
Short lower extremity
Unlike in psoas dysfunction, the pelvis shifts ________ the symptomatic side (long leg side) in short leg syndrome.
Towards
In a psoas muscle dysfunction, the pelvis will shift ________ from the side of the dysfunctional muscle.
Away
What treatment is generally good to try initially for a psoas dysfunction?
Counterstrain (AL1, AL2)
Progressive lower back pain in an older patient that also affects the calfs bilaterally and is relieved by leaning forward is most likely ________.
Lumbar spinal stenosis
Sciatica (versus S1 radiculitis) typically is located in the posterior thigh and does not ________.
Radiate
Lumbar radiculitis in younger patients is usually due to ________ and due to _______ in older patients.
Disk protrusion, osteophytes (or other degenerative changes)
A chronic inflammatory arthritis that can affect the SI joints and hips and is usually seen in people in their early 20’s is known as ________.
Ankylosing spondylitis
In an older patient with progressive low back pain (over the course of weeks), weight loss, and decreased appetite, you should be concerned about ________.
Spinal metastasis
The most common cause of lumbar spinal stenosis is ________.
Disk degeneration (which is why its seen in older patients)
