Sectional 2 (part 2) Flashcards
_ is aggravated by lumbar hyperextension, prolonged standing in lordosis, sleeping prone, and axial loading in lumbar lordosis. Eased by sitting and flexion.
SPONDYLOLISTHESIS
What are the 3 most common causes (in order) of back pain in adolescents
Spondylolysis (stress fx)
Lumbar disc disease
Lumbosacral sprain
Risk factors for vertebral fractures include: prolonged use of _, _ _ in a person over 50 years old, being over _ _ _, history of _ or a recent _ _ at any age.
Risk factors:
- prolonged use of CORTICOSTERIODS
- MILD TRAUMA in a person over 50
- being over 70 YEARS OLD
- history of OSTEOPORSIS
- recent SIGNIFICANT TRAUMA at any age (MVA/ fall from substantial height)
Stress fractures are initially _ _ on _ _ for up to 12-16 weeks. Can _ _ using _ _.
Are initially NOT VISIBLE on X-RAYS for up to 12-16 weeks
Can BE DETECTED using TUNING FORK
Red flags for Cancer in patients with LBP: history of _; _ _ loss; age _ _ or _ _; failure to _ with _; pain that persists for _ _ - _; _ pain or pain _ _.
Red flags:
- history of CANCER
- UNEXPLAINED WEIGHT loss
- age OVER 50 or UNDER 17
- failure to IMPROVE with PT
- pain that persists for MORE THAN 4-6 WEEKS
- NIGHT pain or pain AT REST
Bone cancer in adolescents/ young adults: usually occurs b/w _ and _ years of age; _ _ are most common site; early stage symptoms include _, _ ache; end stage symptoms include _ _ and _.
- usually occur b/w 10 AND 25 years of age
- LONG BONES are the most common site
- early stage symptoms include DULL DIFFUSE ache
- end stage symptoms include JOINT SWELLING AND TENDERNESS
What are the 2 common types of cancer of the long bones in adolescents? What bones/ location is usually affected? (2) Bone cancer is _ in middle age.
2 common types affecting adolescents: OSTEOSARCOMA AND EWINGS SARCOMA
Usually affects tibia and femur near or at the joint
Bone cancer is RARE in middle age
Beware the _ with _ _ (unless it is due to _ _ or _)
Beware the CHILD WITH BACK PAIN (unless it is due to SPECIFIC INCIDENT OR TRAUMA)
_ is an infection that affects long bones. Common causes include: _ fracture; infection _ that _ to bone; minor trauma with a _ _ near bone; _ in the blood stream and _ _ sites such as the _ _ and the _ _ _
OSTEOMYELITIS is an infection that affects long bones
Common causes include:
- OPEN fracture
- infection ELSEWHERE THAT SPREAD to bone
- minor trauma with a BLOOD CLOT near bone (seeding for bacteria)
- BACTERIA in the blood stream
- VULNERABLE VASCULAR sites such as the PROXIMAL TIBIA and the TIBIAL PLATEAU FRACTURE
At risk population for osteoporosis: _ _ women, those treated with _ _ of _ for prolonged periods of time (_ than _ _).
At risk:
- ELDERLY POSTMENOPAUSAL women
- those treated with HIGH DOSES of CORTICOSTERIODS for prolonged periods of time (GREATER than 6 MONTHS)
Osteoporosis is not visible on an X-ray until it reaches _ than _% bone loss. Before that it is called?
Not visible on an X-ray until it reaches GREATER than 40% bone loss
Before (less than 40%) it is called OSTEOPENIA
_ test and _ _ are a precaution with osteopenia and a contraindication with osteoporosis
SLUMP test and SPINAL MANIPULATION are a precaution . . .
In a direct access world what are a PT’s 3 choices?
- Treat
- Refer
- Refer and treat
If a woman’s low back pain symptoms increase around her menstrual cycle problem could be _ and _ _.
Problem could be VISCERAL and NOT MUSCULOSKELETAL
If a female patient has deep ache in her lower back with complaints of the calf pain that worsen around period it could be?
It could be an OVARIAN CYST
