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MSK > lower back pain non surgical > Flashcards

lower back pain non surgical Flashcards

1
Q

zygoepophyseal joints are lined by hyaline cartilage cartilage

A

medial branch of the dorsal ramus

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2
Q

PAravertebral symptoms as a dull ache from

A

zygoepophyseal joints

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3
Q

STability and mobility formed from

A

Intervetebral joints

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4
Q

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

A

nucleus pulposus

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5
Q

type 1 fibers

A

Annulus fibers

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6
Q

Annulus fibers tear at the outer 1/3

A

sinuvertebral nerve causes the pain

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7
Q

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

A

annular fibrosus

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8
Q

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

A

Ventral rami

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9
Q

Neural tissues compresseD: senory root

A

radiating numbess tingling pain

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10
Q

motor/ventral root= weakness

A

motor weakness

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11
Q

Spinal nerve compression

A

combination of symptoms

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12
Q

spinal cord compression

A

LE symptoms in non dermatomal patterns of symptoms

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13
Q

Power muscles

A

trunk motion

flexion extsnion

global stability to the trunk

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14
Q

Segmental muscles (spinal to spinal or spinal to trasnverse)

A

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

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15
Q

what happend to the global muscle in rsponse to injury?

A

hypertonicity to prevent much movement of the trunk

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16
Q

deep muscle does what in response to injury

A

hypotonic.

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17
Q

number one factor of lower back pain

A

genetics

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18
Q

peak age for LBP

A

30-40 and lower in life

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19
Q

Non specific LBP

A

disc dysfunction

facet joint dysfunction

instabilities

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20
Q

Discogenic pain

A

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

and disc herniation

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21
Q

disc degeneraton pain

A

localised axial pain

back and forth trunk motion, excessive segmental motion

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22
Q

disc herniation

A

anulus breaks

back and leg pain Nt

23
Q

what age would you see disc herniation

A

20-55 because nucleus is still viscos

24
Q

Pain associated with numbness and tingling

A

radiculopathy

25
Q

disc herniation radicular symptoms

A

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

26
Q

decreased pain with radicular symptoms?

A

lying, unloading, standing

27
Q

unguarded sudden motion causes a mehcnical block known as

A

Acute facet lock

symptoms dissipate within a week

28
Q

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

A

trauma or arthritis

29
Q

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

A

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

30
Q

stress fracture of the pars interarticularis

A

spondylolysis but not anterior displacement

31
Q

spondylolistesis is complete breakade leading to what slippage?

A

anterior slippage

32
Q

Spinal stenosis is narrowing of the

A

central canal or IV foramina can cause spinal cord compresion

33
Q

Shopping cart sign

A

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

34
Q

muscle spasms at night

A

Spinal stenosis

35
Q

Stenosis start with what tx

A

conservative

36
Q

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

A

cancer

37
Q

Signs and symtoms of cauda equina

A

saddle numbness tingling

bowel/bladder dysfunction

severe back pain

motor weakness

foot drop

decreased reflexes

positive straight leg raise

38
Q

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

A

Cauda equina

39
Q

Central area dull achey

A

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

40
Q

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

A

Radicular (conservative/surgical tx)

This is a nerve root issue that could be cauda equina compression

41
Q

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

A

Radicular (conservative/surgical tx)

This is a nerve root issue that could be cauda equina compression

42
Q

Prone pressure-ups

A

increased pain: facet dysfx and stenosis

decrease pain with disc herniation centralization

43
Q

L1 sensory

A

groin

44
Q

L2 sensory and motor

A

Anterior proximal thigh

45
Q

L3

A

Medial thigh and knee

46
Q

L4

A

Lateral aspect of the knee and medial distal leg

47
Q

L5

A

dorsum of the foot

48
Q

S1

A

lateral foot

49
Q

S2

A

medial heel

50
Q

S2

A

medial heel

51
Q

pain within 40-50 degrees leg raise could indicate

A

sciatic or nerve root irritation

52
Q

slump test test stretches the

A

dura mater

53
Q

ligament test for

A

check for structural instability

MSK (10 decks)

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