Week 3: Physiotherapy management for spinal pain Flashcards
1
Q
What in Hx can we use to select Rx?
A
- previous response to Rx
- patient preference
- sHx
- yellow flags
- aggravating activities
2
Q
What in the physical exam can we use to select Rx?
A
- directional preference
- PAIVM assessment
- N. tissue provocation tests
- impairment
3
Q
What are Rx recommendations for acute LBP?
A
- advice+++
- NSAIDS++
- manual therapy++
- heat (wrap)+
- McKenzie+
- massage+
- acupuncture+
4
Q
What are Rx recommendations for chronic LBP?
A
- Advice+++
- NSAIDS++
- manual therapy++
- McKenzie+
- massage+
- exercise+++
- acupuncture++
- multidisciplinary pain Rx (pain clinics)++
- cognitive behavioural therapy++
5
Q
What are Rx recommendations for neck pain?
A
- advice+++
- simple analgesics+
- NSAIDS+
- manual therapy++
- exercise++
- multimodal therapy+++
- neural mobilisation techniques+
- McKenzie+
- heat+
6
Q
What are Rx recommendations for whiplach (WAD)?
A
- advice+++
- simple analgesics+++
- NSAIDS (WAD 2-3)+
- opioids (WAD 2-3, pain >8)+
- exercise+++
- multimodal Rx (if no improvement)+
- postural advice (in combination)+
- PM (in combination)+
- manipulation (combination, not in WAD grd 3)+
- passive modalities+
7
Q
What are the grades of WAD?
A
- no complaint about neck, no physical signes
- complaint of neck pain, stiffness or tenderness only. no physical signs
- neck complaint AND MSK signs (decreased ROM and point tenderness)
- neck complaint AND neurological signs (decreased or absent tendon reflexes, weakness and sensory deficits)
- neck complaint AND fracture or dislocation
8
Q
What are Rx recommendations for thoracic spine pain?
A
- advice (acute m. pain)
- simple analgesics (acute m. pain)
- manipulation/mobilisation
- postural advice
- exercise
- passive modalities
