Therapists - 29/10/18 Flashcards
1
Q
Who are involved in managing back pain?
A
Manual therapists Medics Pharmacist Employer Family The patient
2
Q
What are 4 possible diagnoses?
A
Simple back ache
Nerve root pain
Serious spinal pathology
Cauda equina syndrome
3
Q
Who gets backache and how does it present?
A
20-55 Well Back, buttock, thigh pain Normal neurology Pain changes with position or movement
4
Q
Who gets nerve root pain and how does it present?
A
Unilateral Parasthesia Leg> back pain Abnormal neurology Weakness Reflex changes Sensory changes Nerve pain
5
Q
What are some indications of serious spinal pathology?
A
PMH of cancer Unexplained weight loss Constant pain Unable to lie supine Under 20 or over 55 Osteoporosis Long term steroid use Menopause Recent trauma Morning stiffness
6
Q
What are some red flag symptoms of cauda equina syndrome?
A
Saddle anaesthesia
Altered bladder control
Bowel incontinence
Gait disturbance
7
Q
What can a GP do for back pain?
A
Advce Medication Referral Imaging Surgical review
8
Q
What can a surgeon do for back pain?
A
Surgery
Watch and wait
Refer for imaging or physio
9
Q
What can a rheumatologist do for back pain?
A
Imaging
Bloods
(look for seronegative arthropathies)
