| Question | Answer |
| Effective treatment for chronic LBP | 1.Manipulation (more so than acute).
2.Exercise therapy.
3.Back to school (intensive multidisciplinary biopsychosocial intervention) |
| What is a Lumbar Step-off a sign of? | Spondylolithesis |
| What is the cause of a UNIlateral Iliolumbar ligament syndrome? | Short leg (anatomical or functional).
**Treat the Short leg. |
| What are the causes of BIlateral Iliolumbar ligament syndrome? | 1.Hyperlordosis.
2.Overuse strain.
3.Postureal weakness (from lack of activity w/ aging).
4.Spondylolysis (degeneration from OA).
5.Spondylolisthesis (Ant shift of vertebrae).
6.Sacroiliitis. |
| Where will pain present with Iliolumbar ligament syndrome? | 1.Lateral Hip.
2.Inner thigh. |
| What are the 4 main causes of Chromic LBP? | 1.Coccydynia.
2.Iliolumbar Ligament Syndrome.
3.Pelvic Pain.
4.Sacroiliitis. |
| How would you start treating a patient with Iliolumbar ligament syndrome? | 1.Back stretching.
2.Abdominal strengthening.
**Can tolerate back strengthening only once pain is gone and abdomen is strong. |
| Causes of Sacroiliitis | 1.Ankylosing Spondulitis.
2.Psoriatic Arthritis.
3.Reactive Arthritis.
4.Gouty Arthritis.
5.Vit A/ Retinoid toxicity.
6.DISH syndrome.
**Will have Sacral pain with an ASIS compression test. |
| OMT for Acute Arthritis | 1.Indirect tech to relieve pain.
2.Lymphatic tech to reduce swelling.
3.Direct tech w/ traction to improve motion & avoid stressing joint (adding the traction will make it effective if it doesn't produce pain) |
| Is pelvic pain common? | YES |
| Are radiologic and laparoscopic evaluation usually negative with Pelvic pain? | YES |
| Pelvic pain is much more common in men or women? | WOMEN, after several births. |
| What should you treat to help with pelvic pain? | 1.Pelvic Diaphragm.
2.Sacrum.
3.Hips (retraining iliopsoas function: hip extensor stretch, supine lef lift) |
| SDs associated with Chronic Pelvic Pain | 1.Pubic Shear or compression.
2.Innominate shear.
3.Psoas Syndrome.
4.Pelvic Diaphragm weakness.
5.Coccydynia (Coccyx pain, often from fall/fracture). |
| Somatic Dysfunctions associated with Coccydynia | 1.Glut max strain.
2.Sacrotuberous ligament sprain.
3.Pelvic floor muscle strain (Birth).
4.Coccyx flexion. |
| Key Indicator of Iliolumbar ligament syndrome | Bilateral Upper pole L5 tennderpoints OR iliolumbar lig tenderness. |
| Key Indicator of Sacroiliitis | 1.Diffuse tenderness in the joints,
2.ASIS compression reproduces the pain,
3.FABER test/Patrick maneuver (Ant hip pain). |
| Key Indicators of Pelvic Pain | 1.Anterior Pelvic tenderpoints. |
| Key Indicators Coccydynia | Sacrococcygeal tenderness, Palpation of coccyx is anterior is reproduces pain. |
