NMM- Lumbar Pathologies

Question 1

What is Spondylosis?

Answer 1

age-related degeneration of the vertebrae and discs of the lower back

Question 2

describe some symptoms of Spondylosis

Answer 2

• non-specific LBP
• episodic acute LBP
• core instability
• lumbar radiculopathy
• spinal stenosis

Question 3

what is Spondylolysis?

Answer 3

a stress fracture at the pars interarticularis, usually occurs at L5

Question 4

What is the pars interarticularsis?

Answer 4

the thin, small portion of vertebrae that connect the upper and lower facet joints

Question 5

what increases the risk of developing Spondylolysis?

Answer 5

increased risk for those involved in repetitive hyper-extension activities of the trunk (e.g. gymnastics)

Question 6

what are the symptoms of Spondylolysis?

Answer 6

• LPB with or without sciatica
• Aggrivated by standing
• If sciatica: decreased SLR
• Possible visible or palpable ‘step’

Question 7

what is Stenosis?

Answer 7

Narrowing of the spinal canal in the lower part of the back

Question 8

Name the symptoms of Stenosis

Answer 8

• numbness, tingling, cramping
• P & N’s
• Pain (lumbar or sciatic)
• Weakness in the legs
• Loss of sensation in the feet

Question 9

what are the aggravating factors of stenosis?

Answer 9

standing, extension, walking

Question 10

what are the easing factors of stenosis?

Answer 10

rest and flexion

Question 11

what is cauda equina?

Answer 11

nerve root compression that causes pain, incontinence and weakness

Question 12

name the 5 main characteristic of CES

Answer 12

1. Bilateral neurogenic sciatica
2. Reduced perineal (saddle) sensation
3. Altered bladder function
4. Loss of anal tone
5. Loss of sexual function

Question 13

Explain the CES Q’s using HORSETAIL

Answer 13

H- have u had any of the following:
O- orgasm changes
R- retention
S- sciatica
E- erectile dysfunction
T- tone changes
A- altered sensation
I- inability to stop
L- leakage