THORACIC ankylosing sponylitis Flashcards
1
Q
THORACIC anklyosing spondylitis classic presentation
A
- a male b/w 15-35 comes in complaining of insidious diffuse, dull pain in his SI joints that is disturbing to sleep
2
Q
similar DDX’s
A
- piriformis syndrome
- Ostoarthritis
- DJD
3
Q
supporting factors
A
- low back pain (dull and stiffness)
- prolonged stiffness
- loss of SC motion
- male
- b/w 15-35 yrs old
- worst when resting in bed and morning
- lumbosacral pain w/ radiation to the thigh
4
Q
refuting factors
A
- older patient (older than 45)
- acute onset
- sharp pain
- worse with movement and better with rest
5
Q
relevant orthos
A
- forestier’s bowstring
- amoss’ sign
- chest expansion test
- lewin supine test
6
Q
referrals
A
- blood test for HLA-B27 gene or substances indicating inflammatory process
- x-ray to check sacrolitis
- gp for analgesics
- physiotherapist to alleviate painand inc. spinal mobility
7
Q
contraindications
A
- may have increased risk of osteoporosis and compression fractures
8
Q
technique
A
a low force technique
9
Q
care plan
A
2 x a week for 4 weeks then progress
10
Q
recommendations
A
- no cure but can take analgesics
- education into stretching and pulmonary exercises
11
Q
prognosis
A
- fair to poor - may continue to progress depending on the extent and how much physiotherapy they do
