Spine Pathologies Flashcards
True or false…
Lumbar spine problems can refer pain into the groin area.
True
How can L5 root compressions occur?
- Degeneration of the spine
- Decreased disc space
- Growth of osteophytes on facet joints
- Thickening of ligaments
What are (3) L5 root compression injuries?
- Disc prolapse (commonly a lifting injury)
- Fracture
- Spondylolisthesis (slip of one lumbar vertebra on another)
What can lumbar spine referred pain be associated with?
Leg pain to foot or neurology (e.g.: numbness or P&N)
Where is lumbar spine referred pain felt?
Posterior hip/buttocks
What can lumbar spine referred pain be aggravated by?
Lumbar flexion or extension activities
What symptoms would make you think that a patient might be getting hip pain referred from their lumbar spine?
- Normal hip strength
- Full hip ROM with OP
- Lower back pain
What are some examples of serious spinal diseases?
- Vertebral fracture
- Metastatic disease
- Spinal infection
- Axial spondyloarthritis
- Cauda equina syndrome
What are the aggs of Discogenic?
- Bending
- Flexion
- Cough/sneeze
What are the eases of Discogenic?
- Prone
- Extension
What are red flag questions for a patient who has had spinal trauma or injury?
- Have you recently experienced a significant trauma or injury to your back?
- Did your back pain start after a fall or accident?
What is a red flag question for a patient who has spinal inflammatory conditions?
Do you have any difficulty moving/stiffness in back or joints >30mins in the morning?
