Spine MDT

Question 1

What is radiculopathy

Answer 1

Pathologic process affecting the nerve root

Question 2

What is cervical radiculopathy

Answer 2

Clinical condition that involves neck, shoulder or arm pain

Question 3

Pt presents with:
-Muscle weakness
-Sensory changes
-Diminished DTR

Answer 3

cervical radiculopathy

Question 4

Special tests for cervical radiculopathy

Answer 4

Spurling

Question 5

Treatment for cervical radiculopathy

Answer 5

NSAIDs, Tylenol, muscle relaxers
PT or chiropractor

Question 6

What are considerations for referral for cervical radiculopathy

Answer 6

Conservative management failure
Atrophy/Motor weakness
Signs of demyelinating condition, infection or tumor
LIMDU/PEB

Question 7

Pt presents with:

-Non-radicular, non-focal neck pain
-Worse with ROM
-Paraspinal Spasm
-Occipital HA
-Irritability, fatigue, sleep disturbances and difficulty concentrating

Answer 7

cervical strain

Question 8

Treatment of cervical strain

Answer 8

Soft cervical collar for 1-2 weeks
NSAIDs, muscle relaxer
Massage, manipulation and cervical traction

Question 9

Referral considerations for cervical strain

Answer 9

Neurological deficits
Failed conservative management

Question 10

What is the most common cause of disability of people under 45 and the 2nd most common primary care complaint

Answer 10

Lower back pain

Question 11

What is the time frame for acute, subacute and chronic back pain

Answer 11

Acute: Up to 4 weeks
Subacute: 4-12 weeks
Chronic: over 12 weeks

Question 12

Back pain in the absence of condition that can be readily diagnosed is called?

Answer 12

Non specific backpain

Question 13

Neuro Red flags for lower back pain

Answer 13

Saddle anesthesia
Loss of bowel/bladder function
Lower extremity weakness

Question 14

Cancerous red flags for lower back pain

Answer 14

Unexplained weight loss
Night Pain
Night sweats
Hx of Cancer
Risk factors for malignancy

Question 15

Infection red flags for lower back pain

Answer 15

Fever
Pain at night
Recent infections

Question 16

Treat of lower back pain

Answer 16

Control pain
Activity/Lifestyle mods
Early mobility (if acute)
Core stabilization

Question 17

Referral considerations for lower back pain

Answer 17

Failed HEP and conservative management
LIMDU PEB

Question 18

Pt presents with:
-Abrupt or gradual onset
-Unilateral radicular leg pain
-Aggravated by various factors
-Possible neuro involvement
L4-L5, L5-S1 distribution
L1-L4 refers to pain to anterior thigh

Answer 18

Herniated disc

Question 19

Special tests for herniated disc disease

Answer 19

Seated and supine SLR
Crossed SLR

Question 20

Treatment of herniated disc disease

Answer 20

Control pain
Activity/lifestyle modification
Rehabilitation
Consider chiro/PT

Question 21

Referral considerations for herniated disc disease

Answer 21

Cauda equina syndromes
Severe nerve root paralysis
Radicular sx that persist more than 6 weeks w/o sx

Question 22

What is scoliosis

Answer 22

Lateral curvature of spine that is more than 10 degree in an adult

Question 23

What are patients with symptomatic sx of scoliosis disqualified from

Answer 23

Service

Question 24

What percentage of adults will have progression of the curvature

Answer 24

70%

Question 25

How many degrees is disqualifying for service for thoracic and lumbar scoliosis

Answer 25

Lumbar scoliosis: >20 degrees
Thoracic scoliosis: > 30 degrees

Question 26

Treatment of scoliosis

Answer 26

Improve function, quality of life, stamina improvement

Question 27

Referral considerations for scoliosis

Answer 27

Persistent pain despite conservative therapy
Radicular pain
Severe spinal deformity
Neurologic deficits