lower back pain non surgical

Question 1

zygoepophyseal joints are lined by hyaline cartilage cartilage

Answer 1

medial branch of the dorsal ramus

Question 2

PAravertebral symptoms as a dull ache from

Answer 2

zygoepophyseal joints

Question 3

STability and mobility formed from

Answer 3

Intervetebral joints

Question 4

Sitting jumping allowed because of what’s ability to accomodate pressure

Answer 4

nucleus pulposus

Question 5

type 1 fibers

Answer 5

Annulus fibers

Question 6

Annulus fibers tear at the outer 1/3

Answer 6

sinuvertebral nerve causes the pain

Question 7

The nucleus exits into the spinal column because of a tear of the

Answer 7

annular fibrosus

Question 8

hat inverates the ventral side o the body and loer extremity?

Answer 8

Ventral rami

Question 9

Neural tissues compresseD: senory root

Answer 9

radiating numbess tingling pain

Question 10

motor/ventral root= weakness

Answer 10

motor weakness

Question 11

Spinal nerve compression

Answer 11

combination of symptoms

Question 12

spinal cord compression

Answer 12

LE symptoms in non dermatomal patterns of symptoms

Question 13

Power muscles

Answer 13

trunk motion

flexion extsnion

global stability to the trunk

Question 14

Segmental muscles (spinal to spinal or spinal to trasnverse)

Answer 14

as we flex forward, the segmental anteriorly. Too much= shear force

Question 15

what happend to the global muscle in rsponse to injury?

Answer 15

hypertonicity to prevent much movement of the trunk

Question 16

deep muscle does what in response to injury

Answer 16

hypotonic.

Question 17

number one factor of lower back pain

Answer 17

genetics

Question 18

peak age for LBP

Answer 18

30-40 and lower in life

Question 19

Non specific LBP

Answer 19

disc dysfunction

facet joint dysfunction

instabilities

Question 20

Discogenic pain

Answer 20

Disc degeneration (anulus turns to type II fibers can’t resist tensile forces)

and disc herniation

Question 21

disc degeneraton pain

Answer 21

localised axial pain

back and forth trunk motion, excessive segmental motion

Question 22

disc herniation

Answer 22

anulus breaks

back and leg pain Nt

Question 23

what age would you see disc herniation

Answer 23

20-55 because nucleus is still viscos

Question 24

Pain associated with numbness and tingling

Answer 24

radiculopathy

Question 25

disc herniation radicular symptoms

Answer 25

increased pain with forward flexion, sitting and driving, cough and sneeze

Question 26

decreased pain with radicular symptoms?

Answer 26

lying, unloading, standing

Question 27

unguarded sudden motion causes a mehcnical block known as

Answer 27

Acute facet lock symptoms dissipate within a week

Question 28

Dull achey pain comes on after sustained posture and lock of mobility

Answer 28

trauma or arthritis

Question 29

Whats the main area of the vertebral that can cause strutural issues related to spinal instability?

Answer 29

Pars interarticularis: area of the neural arch the bridge superior and inferior vertebral processes

Question 30

stress fracture of the pars interarticularis

Answer 30

spondylolysis but not anterior displacement

Question 31

spondylolistesis is complete breakade leading to what slippage?

Answer 31

anterior slippage

Question 32

Spinal stenosis is narrowing of the

Answer 32

central canal or IV foramina can cause spinal cord compresion

Question 33

Shopping cart sign

Answer 33

opens the posterior processes to take pressur off the spinal cord in stenosis

Question 34

muscle spasms at night

Answer 34

Spinal stenosis

Question 35

Stenosis start with what tx

Answer 35

conservative

Question 36

persistent night pain, 50+ with no hx of back pain

Answer 36

cancer

Question 37

Signs and symtoms of cauda equina

Answer 37

saddle numbness tingling bowel/bladder dysfunction severe back pain motor weakness foot drop decreased reflexes positive straight leg raise

Question 38

Ataxic gait, spasticity, positive Babinski, hyperreflexivitybowel and bladder changes

Answer 38

Cauda equina

Question 39

Central area dull achey

Answer 39

Axial (disc, vertebral bodies, c-fibers, lig and facet joint) with conservative tx

Question 40

Dermatomal radiating pattern, narrow sharp, electric, numbness, tingling,

Answer 40

Radicular (conservative/surgical tx) This is a nerve root issue that could be cauda equina compression

Question 41

Dermatomal radiating pattern, narrow sharp, electric, numbness, tingling,

Answer 41

Radicular (conservative/surgical tx) This is a nerve root issue that could be cauda equina compression

Question 42

Prone pressure-ups

Answer 42

increased pain: facet dysfx and stenosis decrease pain with disc herniation centralization

Question 43

L1 sensory

Answer 43

groin

Question 44

L2 sensory and motor

Answer 44

Anterior proximal thigh

Question 45

L3

Answer 45

Medial thigh and knee

Question 46

L4

Answer 46

Lateral aspect of the knee and medial distal leg

Question 47

L5

Answer 47

dorsum of the foot

Question 48

S1

Answer 48

lateral foot

Question 49

S2

Answer 49

medial heel

Question 50

S2

Answer 50

medial heel

Question 51

pain within 40-50 degrees leg raise could indicate

Answer 51

sciatic or nerve root irritation

Question 52

slump test test stretches the

Answer 52

dura mater

Question 53

ligament test for

Answer 53

check for structural instability