Mechanical lower backpain

Question 1

Mechanical back pain is very common and often s___ l____

Answer 1

self limiting

Question 2

Mechanical back pain is commonly trauma/work related and common in people aged __-55

Answer 2

20

Question 3

What are signs of serious pathology in a patient presenting with mechanical lower back pain?

Answer 3

Elderly = think myeloma

Neuropathic pain = spinal cord compression

Question 4

What is degeneration of intervertebral discs called?

Answer 4

Lumbar spondylitis

Question 5

Lumbar spondylitis is when the IV discs lose c____ and thins over time

Answer 5

compliance

Question 6

True or false: lumbar spondylosis is often seen in older patients, is initially asymptomatic and progressively worsens

Answer 6

True

Question 7

What IV discs are most commonly degenerate in lumbar spondylosis?

Answer 7

L4/L5 and L5/S1

Question 8

If serious pathology was suspected like neurological pain, what would you do (lower back pain)?

Answer 8

X-ray and MRI

Question 9

What is the main management for mechanical lower back pain?

Answer 9

Analgesia and physiotherapy