Test 3 Lumbosacral Pain (CNS, Spinal Cord)

Question 1

What is lumbosacral back pain (low back pain) cause by?

Answer 1

Herniated nucleus pulposus

Question 2

Prevention:

What preventative measures can someone take to prevent lumbosacral back pain?

Answer 2

Preventative measures:

• Good posture
• Proper lifting
• Exercise
• Ergonomics
• Equipment that can be used

Question 3

Nonsurgical Pain Management for lumbosacral back pain?

Answer 3

Nonsurgical Pain Management:

• Positioning –> Pillows
• Drug therapy
• Heat therapy –> Vasodilation
• Physical therapy
• Weight Control
• Complementary and alternative therapies

Question 4

Nonsurgical Pain Management:

What drug therapy can be used?

Answer 4

Drug therapy:

Steroids (Acute short-term treatment)
Chronic pain: Acetaminophen, NSAIDS
Injections to treat acute situation

Question 5

Surgical Management (Last Resort):

What is the post-operative care for a minimally invasive surgery?

Answer 5

Minimally Invasive Surgery
Post-op care:

• Assess neurological status, movement, tingling
• May go home same day
• Teaching before surgery b/c wont have much time with them after.

Question 6

Surgical Management (Last Resort):

What is the post-operative care for a Convectional Open Surgical Procedure?

Answer 6

Convectional Open Surgical Procedure
Post-Op care:

Prevention/assessment of complications
-Focused-assessment every 30 min-1 hour

Neurological assessment; vital signs
-Neuro checks more frequently

Patient’s ability to void

Pain control

Wound care –> Look for infection

DVT prevention

CSF check –> Check for clear drainage

Patient positioning/mobility
-Communicate with doctor

Question 7

What discharge topics should be discussed?

Answer 7

• Home care management

- Community Resources