Lsp Flashcards
Lumbar sacral strain
Small tears or stretch ing injuries cause inflammation and pain but do not destabilises the spine
Epidemiology lumbar sacral strain
Occurs when there is an injury, either acutely or due to repetitive microtrauma, in the muscles, tendons and ligaments
Age groups affected by lumbar sacral strain
20-50
Most common cause of disability in Pt <45
Clinical presentation of lumbar sacral strain
Tenderness to palpation of paraspinal muscles but rarely in midline along SPs
Reduced ROM
Normal motor and sensory exam
Any neurological deficit’s in peripheral motor or sensory function should alert physician against strain
Apprehension + change of posture= +ve
Prognosis of lump sacral strain
Pt may benefit from 2-4 days of rest
Early mobilisation encouraged
Strengthening and stretching improves ROM
Improvements should be seen in 6 week period
Degenerative lumbar spinal stenosis
Narrowing of spinal canal, compressing nerves travelling through lower back into legs
Epidemiology of lumbar stenosis
Can be developmental, idiopathic or a consequence of metabolic bone disease
Thought to start with subtle instability between vertebra, to subsidies stability subsequent hypertrophy
Age groups affected by lumbar sacral strain
Typically <60
Risk factors of degenerative lumbar stenosis
Advancing age
Clinical presentation of degeneration lumbar stenosis
Back and leg pain
Numbness and tingling of lower extremity
Described as hip pain, specifically ask about buttocks and lower extremity (differentiates hip arthritis and stenosis)
Often progressive, increased compression of nerve roots
Sitting eases, walking exacerbates
Prognosis of degeneration stenosis
Most people react positively to treatment and improvements are shown gradually
Due to wear and tear so difficult to control
