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9 Cards in this Set
- Front
- Back
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What are the 3 catagories of LBP?
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-non-specific (no nerve involvement; not 2nd to another disease)
-LBP associated often with radiculopathy or spinal stenosis -LBP associated w/another disease process |
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What are some etiology for non-specific LBP?
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-musculo-ligamentous strain
-osteoarthritis -scoliosis -fibromyalgia -sacroiliac inflammation -compression fracture -spondylolysis |
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What are some etiology for LBP w/radiculopathy or spinal stenosis?
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-disk herniation w/nerve root inpingement
-spondylolisthesis w/spinal stenosis -cauda equina syndrome |
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What are some etiology for LBP du to other disease processes?
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-multiple myeloma
-cancer metastisis -Pott's Disease -Ankylosing Spondylitis -Aortic Dissection -prostatitis -Psoas muscle infection -Pylonephritis |
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What are some signs and symptoms of back pain?
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-stiff/decreased ROM
-shooting, burning pain down back of legs -numbness/ paresthesia/ weakness |
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What are the RED flag symptoms of back pain?
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-foot drag
-loss of bowel or bladder control -weight loss -fever -hx of cancer + weight loss + no improvement after 1 month + age > 50 |
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Is CT or MRI better for back pain?
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MRI
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What are some medications that can be used to treat back pain?
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-Ibuprofen 600mg 1 po q 6hrs
-Celecoxib 100mg bid -Acetominophen 500mg 1-2 po q 8hrs -viocodin 1 po q 6 hrs -Muscle relaxant (cyclobenzabrine 10mg 1 po TID) |
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What are some other medications that can be used to treat back pain?
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-tricyclic antidepressants (amitriptyline 25 mg 1 po qHS) or (Gabapentin 300 mg 1 po q hs in pts w/radioculopathy)
-epidural injections -nerve stimulations |
