Lumbar Flashcards
percentage of visits to doctor due to lbp
3
1 year incidence of lbp
6.3 - 15.3%
direct cost of lbp
85 bill
indirect costs from lost work due to lbp
7 bill
13-20 percent of patients with lbp have this
si dysfunctino
lumbar spine can refer pain to the blank area which mimics blank
si area, si dysfunction
different pathologies of lbp
herniated disc, sciatica (radiculopathy), lumbago, djd, ddd, strain, stenosis, spondylosis, spondylolysis, spondylolisthesis, si dysfunciton
herniated disc is usually blank onset, unilateral or symmetrical, and worse with blank
insidious, flexion
herniated discs may have periods of blank
no pain
herniated discs are often worse in the blank
mornings/evenings
initially back pain presents before leg pain, is intermittent, weakness, difficult gait, vary depending on position
lumbar radiculopathyw
knee pain caused by blank nerve roots
L3-L4
common presentation of this is an episode of back pain months ago where leg symptoms never went away, bending forward causes sharp pain in LE
adherent nerve root
adherent nerve root will not follow a blank
dermatome
common presentation is with chronic back pain, intermittent symptoms in back like stiffness, one or both legs cramping with walking, sitting relieves leg pain, aggravated by standing
stenosis
can be symmetrical or asymmetrical, localized, episodic, not many functional limitations until tissue is engaged
spondylosis
spondylosis is blank
oa
commonly presents with localized back pain, trauma or repetetive force, mostly insidious, extending or sidebending hurts
spondylolysis
commonly presents with back ache, catching, intense stabbing pain, flexion activities are okay but extension hurts, transitioning into and out of positions, feels weak and difficulty standing upright
spondylolisthesis
most cases of si issues begin from some sort of blank
trauma
si pain is often in the psis region and this is called blank sign
fortin sign