OPP Lect 29 LBP II
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show | Back strain, non-radiateing lbp secondary to mechanical stress on lumbar spine.
**Usually secondary to overuse or injury/deformity of anatomical structures
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***Know L4,L5,S1 dermatome, motor, and DTR for test*** | show 🗑
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Differentiate b/w 1st, 2nd, 3rd degree strains | show 🗑
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Commonly seen causes of Lumbar strain | show 🗑
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show | 1.Starts out as a reflex w/ intent of protecting the lumbar spine from furher injury.
2.Sustained contraction becomes site of nocioception.
3.sustained contraction leads to muscle fatigue.
4.will eventually involve muscles, joints, fascia, and ligament
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What is pain that is localized to the lumbar/lumbosacral area that does NOT radiate to the extremities (maybe the buttocks) indicative of? | show 🗑
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How can you differentiate b/w lumbar strain and iliolumbar ligament syndrome? | show 🗑
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show | 1.Neurological deficiets.
2.Incontinence.
3.Doesn't get better with rest (Fracture).
4.Fever/infection.
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show | Hamstrings.
**tight hamstrings will also slow recovery time.
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show | 1.OMT (HVLA may not be tolerated for Acute strains).
2.NSAIDS, ice, muscle relaxants.
3.Control physical activity for TWO days.
**Active exercise programs should start EARLY in treatment (stretching then strengthening)
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show | External rotation and ABduction of the hip.
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What is usually the cause of Piriformis Syndrome? | show 🗑
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Are there any neurological deficits with piriformis syndrome? | show 🗑
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Does pain increase with valsalva squeeze in a patient with Piriformis syndrome | show 🗑
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A patient with Piriformis syndrome will be restricted in what ROM? | show 🗑
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Treatment for Piriformis Syndrome | show 🗑
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show | Flexion.
**They will have trouble Standing straight up.
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show | 1.Sciatic pain usually not past the knee due to piriformis spasm (on opposite side).
2.L1-L2 FRxSx.
3.Pelvis shifts towards the opposite side of the injured iliopsoas.
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show | 1.OMT: counterstrain & ME (towards the injured iliopsoas).
2.NSAIDS & muscle relaxants.
3.Home exercise.
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