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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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Created by: WeeG
Popular Osteopathic Principl sets