Mechanical Back Pain Flashcards Preview

Musculoskeletal > Mechanical Back Pain > Flashcards

Flashcards in Mechanical Back Pain Deck (25)
Loading flashcards...
1
Q

what are the causes of backspin?

A
viscerogenic
spondylogenic
discogenic
neurogenic
psychogenic
2
Q

name a viscerogenic cause of backpain.

A
AAA
peptic ulcer
gallbladder
kidney
liver etc
3
Q

what are the 3 things present in a back history?

A

back pain
leg pain
neurological symptoms

4
Q

what are the 3 clinical presentations of back pain?

A

PSP - possible spinal pathology

NRP - nerve root problems

MBP - mechanical back pain

5
Q

Where is the common location of back pain?

A

lumbar/thoracic region

6
Q

what types of onset of back pain are there?

A

sudden
gradual
insidious

7
Q

what is the natures of back pain?

A

sharp
shooting
dull

8
Q

leg pain can either be ________ or ____

A

referred or root

9
Q

what type of pain is referred leg pan?

A

dull
buttock/thigh
rare below knee
ill definied

10
Q

what type of pain is root leg pan?

A

sharp/shooting/electric
below knee to ankle
anatomical sensory
SCIATICA

11
Q

what are the neurological symptoms in back pain?

A

bowel/urinary

incontinence
loss of control
perianal - saddle anaesthesia
bilateral or unilateral

12
Q

what additional information is useful in the history?

A

age and occupation

litigation

13
Q

what are the red flags in back pain?

A

systemic upset

saddle anaesthesia +/- bladder or bowel upset

14
Q

name some possible spinal pathologies (4)

A

osteoporosis in spine causing fracture

tumours - metastatic

infection

inflammatory - ankylosing spondylitis

15
Q

what are the 5 cancers that spread to bone?

A
breast
bronchus
prostate
thyroid
kidney
(adenocarcinoma of lung)
16
Q

what are the causes of nerve root problems in back pain?

A

disc prolapse

17
Q

what is the pathogenesis of disc prolapse?

A

impaired disc nutrition
disc prone to damage
disc fissure
protrusion, extrusion, sequestrated

either small or large vertebral canal

loss of disc height
facet arthropathy

back pain (+/- canal stenosis)

18
Q

what are the 2 types of vertebral canal?

A

large and small

19
Q

outline the large vertebral canal

A

back pain from stretched annulus/post long ligament

20
Q

outline the small vertebral canal

A

root compression
inflammatory mediators
root pain and tension signs
resolution/surgery

21
Q

when do you diagnose mechanical back pain?

A

diagnosis of exclusion

most common

22
Q

Paris interacularis looks like what on x-ray?

A

scotty dog

23
Q

name the myotomes in:

hip flexion
knee extension
foot dorsiflexion & EHL
ankle plantarflexion

A

hip flexion - L1/2
knee extension - L3/4
foot dorsiflexion & EHL - L5
ankle plantarflexion - S1/2

24
Q

what must you not forget to examine in someone with back ache?

A

abdominal exam and PR

25
Q

what does the schober’s method measure?

A

spinal flexion