Spinal Stenosis + more fucked spines Flashcards
Spinal Stenosis patho
it occurs when arthritic changes narrow the spinal canal at L1 and C2.
Spinal Stenosis cxfx
Symptoms include neck and back pain, bilateral leg/buttock pain and
numbness, and pseudoclaudication.
Spinal Stenosis Symptoms worsen with
walking and improve with spinal flexion.
Spinal Stenosis dx
mri
Spinal Stenosis tx
NSAIDs or surgery
Herniated Disk Disease epidemiology and etiology
most frequently seen in the elderly, and etiology is often associated with a lifting injury
Herniated Disk Disease cxfx
“electric” pain
following a dermatome distribution.
Herniated Disk Disease Dx
Diagnose with “straight leg raise.” If red flags are present, consider MRI.
Herniated Disk Disease management
NSAIDs and activity modification.
Up to 80% of all disc herniations are self-limiting and usually resolve within 4 weeks
only if refractory or cauda equina xs, do Qx
Herniated Disk Disease most common sites of lumbar disc
herniation
L4-L5 and L5-S1.
patient who presents with acute onset of back pain and is under the age of 50 should have
an MRI to rule out spinal cord
compression due to a slipped disc or lumbar disc herniation