Mechanical Back Pain Flashcards
1
Q
Causes by age
A
15-30- prolapse disc, trauma, ankylosing spond, spondylothisthesis, preg.
30-50- degen, prolapse, malig.
Over 50- degen, OP, pagets, myeloma, malig, stenosis.
Rare- CE tum, psoas abcess, infec.
2
Q
Causes gen
A
Musc strain Disc rupt Frac Soft tiss tear Disc prolapse Spondylolisthesis L spine sten Lateral recess sten
3
Q
red flags
A
Saddle anaes Leg sensat change Incontin Hx trauma Under 20, over 55 Alternating sciatica Weak legs Morn stiffn Claudication
4
Q
diffs
A
Biomechanical
Cauda equina synd
Disc prolapse
5
Q
ix
A
Bloods- FBC, CRP, ESR, ALP, Ca.
Rarely imaging.
6
Q
Mx
A
Most recover alone in 6wk Mobility Posture Safe movem Analgesia Physio CT, MRI if req
