OME - Back Pain Flashcards
1
Q
Alarm symptoms for back pain?
A
- Incontinence
- Saddle anesthesia
- New neuro deficit
- Rapidly progressing deficit
2
Q
Rx cord compression?
A
- Steroids IV
3
Q
Work up for cord compression?
A
- Xray
2. MRI
4
Q
Rx Cord compression?
A
- Hematoma - drainage
- Abscess - Abx + ID
- Cancer - Radiation
- Fracture - Surgery
5
Q
Rx msk back pain?
A
- NSAIDs
- Exercise
- Reassess after four weeks
* **Never say bedrest
6
Q
What type of back pain is bed rest good for?
A
This is never the answer
7
Q
What to do if pain doesn’t improve after 4 weeks exercise and NSAIDs?
A
- Xray
2. MRI if Xray negative
8
Q
Presentation MSK back pain??
A
- Young male
- Pain on lifting something heavy
- “Belt like pain”
9
Q
Presentation disk herniation?
A
- Heavy lifting
- Sciatica
- Positive straight leg raise test
10
Q
Pathophys herniated disk?
A
Nucleus pulposus pinching nerve after heavy lifting
11
Q
What is sciatica?
A
Lighting shot pain down leg
12
Q
What does positive straight leg raise test diagnose?
A
- Herniated disk
2. Osteophyte
13
Q
Diagnosis herniated disk?
A
- Xray - Usually negative
2. Follow up MRI
14
Q
Rx herniated disk?
A
- Surg better than conserve mgmt at 6 mo
2. Both equal at 1 year
15
Q
How to treat back pain from osteophyte?
A
Surgery - does not get better with conservative management like herniation will
