Lumbosacral Sprain and Strain Flashcards
What type of Sprain is this?
- partial tear with bruising, edema and macrohemmorage. Max pain with tension.
Grade 2
What type of Sprain is this?
when there is no tearing
Grade 0
What type of Sprain is this?
when there is no bruising, micrometer, visible swelling, and moderate pain.
Grade 1
What type of Sprain is this?
Painless, edema , macrohemmorage with bruising and the joint is unstable
Grade 3
Your patient comes in complaining of back pain and you diagnose him with Sciatica. How will you treat him? And if he wants pain medication?
You will tell him that he is looking at a 4-6 week recovery time and 12 weeks if this coexists.
Our recommendation is to not take them but make sure that you take them properly.
What is the (Oral)
Onset
Peak
Duration
Onset: 20-30 min
Peak: 1-2 hrs
Duration: 3-6 hrs
What is the ( IM)
Onset
Peak
Duration
Onset: 20-30 minutes
Peak: 30-60 minutes
Duration: 3-4 hrs
What is the (IV)
Onset
Peak
Duration
Onset: 10-15 secs
Peak: 15-30 min
Duration: 1-2 hrs.
Radiculopathy def
a neurologic deficit in the nerve root that causes reflex loss, sensory loss, and muscle weakness.
Radiculitis def
inflammation of the nerve root that causes radicular pain, muscle spasm, and hyperflexia.
How would you approach OMT for a patient like this?
It is ok to perform OMT within the first 4 weeks but if you see no improvement then stop and reevaluate.
If someone comes into the office with lower back pain, will you need to get images?
No because most will heal up in 4-6 weeks and most images show FALSE POSITIVES at a high rate.
Radio nucleotide bone scan and what conditions it shows?
lights up areas of high bone turnover/ inflammation. You use this in combo with XRAY, CT, and MRI.
Conditions shown are OFIT: occult fractures, infections, tumors.
If a patient’s back pain continues then_____ the first choice ( anatomic defect) , then second would be ______
Xray and MRI
EMG/NCV are used for?
unresolved radicular pain. differentiates btw nerve root damage and peripheral nerve lesion.
If a patient continues to have sensory loss then you do what test? What does this test for?
SSEP/DEP; evaluates motor system and peripheral nerve function. ( evaluates sensory system)
MRI is best for?
soft tissue–> to find tumors, abcesses
CT is best for? gold when?
bone pathology–> small fractures, and is gold standard when used with myelogram
Complications in order of these tests are?
CT/myelogram
myelogram
Xray
MRI
Open MRI used for?
Closed MRI used for?
Vertical MRI used for?
Open: peripheral joints and uses least radiation
Closed: used for spinal imaging and most radiation
Vertical: when person has radicular pain while seated or erect.
CBC would be used for? rules out what and how?
rule out infections/cancer–> WBC
rule out anemia–> RBC
urinalysis used for? rules out what and how?
rules out kidney stones by RBC, crystals
UTI–> WBC or Nitrates
ESR
for males the eq is
for females the eq is
age divided by 2
age plus 10 divided by 2
ESR def and use/ can differentiate btw?
shows the presence of inflammation but is nonspecific
- MI, appendicitis, RA
OMT ““relative”” contraindications are ?
pain, spondylolisthesis, and HNP
If you diagnose a pt with moderate LBP, then they can sit no longer than ________
30 minutes
If you diagnose a patient with mild LBP, then they can sit no longer than ________.
40 minutes
If you diagnose a patient with NO LBP, then they can sit for no longer than ________.
50 minutes
If you diagnose a patient with severe LBP, then they can sit for no longer than _______>
20 minutes.
