Spinal Conditions Flashcards
Are spinal manipulations indicated for a muscle Sprain?
Yes
Spondylolysis
Fx of pars interarticularis
What view and sign is uesed for spondylolysis?
Oblique view - scotty dog
Spondylolisthesis
Anterior or posterior slippage of one vertebra on another following bilateral fx of pars interarticularis
Grading of spondylolisthesis
1-4 with 1=24 and 4=100% slipped
Clinical test for spondylosis/spondylothesis
Stock Test
When doing PT with someone who has spondylosis/spondylothesis avoid what movments? (3)
Extension
Ipsilateral SB
Contralateral Rotation
Are spinal manipulations recommended for spondylothysis/spondylothlithesis?
No! Theres a fx dumbass
Where is there narrowing with spinal stenosis?
Central cananal and intervertebral forament
Signs/Symptoms of Spinal Stenosis
- Increased pain with Extension
- Bilateraly pain/paresthesia in back, butt, thigh, calves and feet
- Increased pain with walking
- Pain decreased with prolonged rest
Test for Spinal stenosis
Van Gelderen Bicycle test
When treating spinal stenosis - flexion ased or extnsion based exercises?
Flexion based - extension hurts!
What motions to avoid with spinal stenosis
Extension, Ipsilateral SB and ipsilateral rotation
They narrow the SC more
Cervical tx should be done at __ degrees of cervical flexion
15 degrees
Internal Disc disruption is most common where in the spine?
Lumbar Region
Spinal manipulation indicated for internal disc disruption?
No
Why is a posterior bulge more common in lumbar spine? (3)
- Posterior disc narrower in height than anterior
- PLL not as strong and only centrally located in lumbar spine
- Posterior lamellae of annulus are thinner
How long do you what to gap the spine with a posterior disc herniation
10 minutes
Spinal manipulation with posterolateral bulge?
No
Where is a central posterior bulge usually seen?
Cervical Spine
How does a patient with a central posterior bulge present ?
With CNS symptoms (Hyperreflexia and (+) Babinski
Spinal manipulation for Facet Joints DJD?
Can be useful
Facet Entrapment caused by
Abnormal movement of fibroadipose meniscoid in facet during extension. Meniscoid does not properly reenter joint cavity and bunches up, becoming a space occupying lesion
Does someone with Facet Entrapment prefer Flexion or extension
Flexion is better, Extension increases pain
Two top treatments for Facet Entrapment?
Positional facet joint Gapping and Manipulation
Spinal Manipulation used for whiplash?
Yes
Manipulation for SIJ?
Yes
2 types of bone tumors
Primary and Metastatic
Signs/Symptoms of Bone Tumors:
Unvarying and progressive
Not relieved with rest or analgesics
Worse at night
Esophageal cancer manifests
Back
Pain with swallowing
Dysphagia
Weight Loss
Pancreatic Cancer manifests
Gnawing pain from chest to back
Acute pancreatis manifests as
Mid-epigastric pain radiating through back
Cholecysitis manifests as:
Abrupt, severe abdominal pain
RUE quadrant tenderness
Nausea, Vomiting, Fever
Heart pain manifests as
Pain in chest, back, neck, jaw and UE
AAA can appear as
Nonspecific lumbar pain
Kidney, bladder, ovary and uterus disorder can refer to
Trunk, pelvis and thights
3 causes for Temporomandibular joint pain
- DJD (OA/RA)
- Myofascial pain (muscles - incluing neck and shoulder)
- Internal derangement of joint (displaced disc, dislocated jaw, congenital anatomical anomalities)
Primary glide of TMJ
Inferior which allows a gap in the jointt and stretches the capsule
