LUMBAR facet syndrome Flashcards
1
Q
LUMBAR facet syndrome classic presentation
A
- sharp pinpoint pain over facet after misjudged movement
- radiating pain down the leg and above the knee with hyperextension
- dull achy pain
2
Q
similar DDX’s
A
- lumbar disc herniation
- ankylosing spondylitis
3
Q
supporting factors
A
- sharp pinpoint pain over involved facet with achy pain into buttock/hip/thigh
- pain relieved with flexion
- reduced extension ROM
4
Q
refuting factors
A
- abnormal weakness
- +valsava’s
- -ve standing kemps
5
Q
relevant orthos
A
- standing kemps
- storks test
6
Q
referrals
A
- x-rays
- GP for NSAIDS
7
Q
contraindications
A
- avoid hyperextension and lying prone
8
Q
technique
A
- supine cerv.
- diversified
- side postures
9
Q
care plan
A
2 x a week for 3 weeks
10
Q
recommendations
A
- pelvic tilt exercises
11
Q
prognosis
A
- excellent
