Pediatric HA LBP Flashcards
single episode of head pain wothout history of previous events
acute headache
pattern of head pain separated by symptom- free intervals
acute-recurrent headache most commonly migraine
acute-recurrent headach usually migraine superimposed on a chronic-progressive headache
mixed headache
two examples of primary headaches
migraine and tension type
some causes of secondary headaches
SOL
inflammation
increased ICP
what type of headache has a bandlike sensation around the head and is associated with neck and shoulder pain. is also associated with stressfull events
Tension-type primary headaches
what could be two causes of infectious back pain in pre-pubertal kids
diskitis
osteomyelitis
kids with a diskitis may have pain refered where
hip
age range for back pain in kids
greater than 12
Gender bias for back pain in children
females
what are a few thinks the predispose kids to back pain
previous back injury, sitting at school, carry back packs, familial tendenct
what are the top three most common causes of LBP in children
schuermann’s disease
facet tropism
spondylolysis
what disease
fatigue and pain in the upper back
exaggerated mid-thoracic kyphosis, cervical and lumbar lordosis and anterior pelvic tilt
Scheuermann’s
how do you diagnose Scheuermanns
X-ray: anterior vertebral body wedging, loss of disc height and irregularity of the vertebral end-plates, 3 or more adjacent vertebrae
what is the management for scheuermann’s
adjustments and soft tissue therapy
stretch hamstrings and strengthen abdominal msucles
strengthening exercises for back
what facet in a facet tropism vertebra that has one in the sagittal plane and one in the coronal plane
avoid the sagittal facet- it is already hypermobile. slides ant and posterior no prob
what movements should you avoid when you have a facet tropism in the typical place
avoid hyperextension and rotation of the lumbar spine
how does scheuermanns disease present
fatigue and pain in the upper back
exaggerated mid-thoracic kyphosis, vervical and lumbar lordosis and anterior pelvic tilt
a kid who cannot quite get comfortable in their seat may have what
scheuermanns disease
how does a spondylo present
LBP aggravated by acitivity asymptomatic in some cases,
increased lumbar lordosis, hamstring tightness, gait abnormalities
COuld you use a brace for a spondylo?
yes
how often in adolescence do you xray a spondy
every 6 months
what is the most common cause of back pain seen in the chiropractors office
subluxation
infections and neoplasms are common causes of back pain in what age group
less than 4
duration of how many weeks is a warning sign for pediatric back pain
greater than 4 weeks
Birth trauma with resultant hamatoma formation followed by muscular contracture
Congenital muscular torticollis
what is the most common way children get congenital muscular torticollis
Breech or difficult forceps delivery MC
up to 20% of children with congenital muscular torticollis have what as well
congenital hip dysplasia
infant presentation for Sternomastoid tumor aka Pseudotumor
visible sometimes palable swelling in the SCM
painless hard mass
appears 2-3 weeks
rearly bilateral
what is the scm finding with older children with torticolis and pseudotumor
tumor is less discrete
SCM appears thickened and foreshortended along its entire length.
what is the standard treatment for torticollis that parents can do
parental physiotherapy 90% respond within one year.
premature closure of the lambdoidal suture
synostotic plagiocephaly
external pressures on the rapidly developing skull from prolonged exposure to one positionq
nonsynostotic plagiocephaly
what is the problem
suture palpates WNL
ear on flat side appears more anterior
ipsilateral forhead protrudes
Bald spot on sie of flattening
Position Head deformity
what is the problem palpable ridge ear on flat side appears more posterior forhead does not protrude no bald spot no sign of external pressure
Craniosynostosis
