LQ Flashcards
What is deep gluteal px syndrome
Sciatic nerve is compressed or irritated in deep gluteal regions
Can radiate down leg
Cause: entrapment of sciatic nerve
Ischiofemoral impingement
]hamstring tendinopasthy
Post surgery
Overuse in athletes
Deep gluteal px/aching. Can radiate post thigh
Aggravated by: prolonged sitting, walking uphill, squatting, hip iNTERNAL ROT
Relieved by:standing or walking short distance
Parasthesia, numbnessm weakness
Flexion, adduction, internal rot reproduces symptoms
Can have LBP as a symptom due to altered gate, compensating muscles
What is DDD
Progressive, age related breakdown of investable discs especially Angelou’s purposes and nucleus pulposis
\
Dehydration, disc height reduce
Facet joint stress increases, ligaments become lax and hypermobility can occur
Osteophyte for nation, reduce ROMS increase px
Mc 30-60
Genetic predisposition
Repetitive spinal load logs high impact sports or manual labour
Smoking
Trauma
Obesity
Chronic low back or neck px
Worse with prolonged sitting, flexion, loading
Better: walking, standing, extension
Morning stiffness
Can refer to buttocks, thighs or shoulders
Can also get radiculopathy
Refer x-ray
What is spinal stenosis
Narrowing of spinal canal or in vertabral foreman
Causes Compression of spinal cord or nerve roots
Px, weakness, numbness, reduced mobility
Degenerative changes
Congenital
Herniated discs
Spondylolisthesis
Trauma
Spinal instability
Tumour
What is central canal stenosis
Central canal stenosis:
Narrowing of spinal canal, compression spinal cord or cause equina
Causes: DDD, spondylolisthesis, congenital
Cervical:gait issue, spasticity
Lumbar:bilateral leg px, numbness standing or walking
Mc 60-75
Men for lumbar
Women for cervical
Improved with flexion
What is lateral canal stenosis
Narrowing of lateral portal on of spinal canal
I vertabral f0ramen which is where nerve roots are and nerves exit
UNILATERAL SYMPTOMS
Sharon shooting px down dermatome path
Tingling, numbness, weakness in affected limb
Worse with extension and lateral flexion toward affected side
Better with flexion
TEST KEMPS IS GOOD
SLR
Dermatome loss, motioned weakness, reflex change
Mc 40-70due to degenration
How is DDD and OA different
DDD is in intervertebral disc whereas OA is facet joints
DDD dehydration of pulposis, OA cartilage breakdown
Describe OA
Degenerative joint disease breakdown of articulate cartilage within the joints due to mechanical stress
Osteophytes can form which can irritate nerves and cause px
Trauma
Joint instability
Obesity
Repetitive joint overuse
Metabolic disorders
Inflammatory disease like RA
Unilateral
What is a herniated disc the
Nucleus pulposis produced the rough the outer later anulous fibrosis
Can press on nearby spinal nerves leading to px, numbness, weakness
Degeneration
Sudden heavy lifting or twisting
Injury
Genetics
Obesity
Px, numbness, tingling, weakness, loss of reflexes
Rest, physical therapy, steroids, surgery
