OPP Lect 28 LBPI
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| Where is low back pain located? | show 🗑
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| show | 1.Acute: Less than 6 weeks.
2.Subacute: 6-12 weeks.
3.Chronic: More than 12 weeks (3 months).
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| show | 1. At least 60% w/ acute LBP return to work w/in 1 month.
2. 90% return w/in 3 months regardless of the treatment.
3. 25-60% of patients will have reoccuring symptoms w/in 1-2yrs.
3.
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| show | MECHANICAL:
1.Strain/sprain (70%).
2.Degenerative Disc (10%).
3.Disc herniation.
4.Spinal Stenosis.
5.compression fracture.
6.Spondylolisthesis (1 vertebrae slips anterior to another).
**Non-mechanical: cancer, infection, inflamm arthritis, Visce
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| Red Flags during an initial assessment of a patient with LBP | show 🗑
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| LBP Red Flags: Suspect Fractures with | show 🗑
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| LBP Red Flags: Suspect Tumor with | show 🗑
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| LBP Red Flags: Suspect spinal Infection with | show 🗑
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| show | Lesion compressing the cauda equina nerve roots.
**LBP + Saddle sensory anesthesia (is it numb when you whipe your own ass?) or Bladder & Bowel dysfunction.
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| Difference b/w Radiculopathy Vs Cauda Equina Syndrome | show 🗑
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| show | Damage can be Irreversible.
**Bowel & Bladder & ED take the longest time to recover.
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| show | NO.
**Unless they are have progressively worse neurological deficits.
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| show | 1.DTRs.
2.Motor strength testing (by nerve root).
3.Sensation testing (by dermatome).
4.Straight leg raising.
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| show | 1.Motor strength: Inversion.
2.DTR: Patellar.
3.Sensation: Inside of foot & lower Leg
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| show | 1.Motor strength: Dorsiflexion.
2.DTR: none.
3.Sensation: top of foot.
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| show | 1.Motor Strength: Eversion.
2.DTR: Achilles tendon.
3.Sensation: lateral aspect of foot.
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| Differentiate b/w Spondylosis, Spondylolysis, Spondylolisthesis | show 🗑
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| Lumbosacral radiculopathy results from what? | show 🗑
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| show | 1.Sitting.
2.Coughing.
3.Sneezing.
**Will travel from the buttock down the posterior aspect of the leg.
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| Radiculopathy in what Lumbosacral nerve roots will refer pain down the ANTERIOR thigh? Does it radiate below the knee? | show 🗑
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| What are the most common locations for Disc Herniations? | show 🗑
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| show | NEUROGENIC CLAUDICATION.
**Leg symptoms will worsen when walking, but eased with sitting, or lying down. Compensate by flexing forward (shopping cart sign).
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| show | NO.
**Discogenic pain w/out nerve root impingement typically is diffuse, vague, and axial.
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| show | YES, 52% at atleast one level. Therefore the lab tests must match the symptoms/history (if they have a L4 bulge with radiculopathy, then it fits).
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| show | YES, want them up and moving as soon as possible
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| Does OMT Change the final outcome of reducing/ healing LBP when compared to standard medical therapies? | show 🗑
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| show | CONSERVATIVE treatment:
1.OMT.
2.PT.
3.Ice & heat.
4.Medications (NSAIDS first, muscle relaxors, OPIOIDS).
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Created by:
WeeG
Popular Osteopathic Principl sets