Low Back Pain (LBP)

Question 1

What is the most common cause of LBP?

Answer 1

1. Muscular or ligament ours strain/sprain will resolve after a few days of rest

Question 2

What are the red flags of LBP?

Answer 2

1. Age <20 (stress fracture) or >55 (AAA)
2. Extreme hypertension
3. Abdominal pain

Question 3

When should you order X-rays?

Answer 3

1. After acute phase (3-6 weeks)
2. MRI or CT
   *when assessing for underlying pathology or as a surgical indicator

Question 4

How should you ask the patient to localize the pain?

Answer 4

1. Tell them to point with one finger and describe any radiation

Question 5

If the pain is above L1 where could it radiate?

Answer 5

1. Chest
2. GB
3. Pancreas
4. Aorta
5. T-spine

Question 6

If the pain is above flank where could it radiate?

Answer 6

1. Kidney
2. Ureter
3. Retroperitoneum

Question 7

If the pain is at the groin where could it radiate?

Answer 7

1. Hip
2. Ureter
3. Testicle
4. Inguinal area

Question 8

If the pain is at the butt where could it radiate?

Answer 8

1. Pelvic
2. Vascular
3. Sacroiliac

Question 9

If the pain is at the thigh where could it radiate?

Answer 9

1. Hip
2. Vascular
3. Pelvic

Question 10

Would could sudden LBP be?

Answer 10

1. Dissecting AAA
2. Herniated intervertebral disc