Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
What are red flags in back/neck pain?
|
N - neurological: major motor weakness, bowel/bladder incontenence, saddle numbness
I - Infection - fever, UTI, Immunosuppressed, IV drug user F- Fracture: trauma, osteoporosis T - Tumour: history of cancer, weight loss, fever, pain worse supine or at night I - inflammation: morning stiffness >1hr, age <20 or >50 |
|
|
What is the lifetime prevalence of Low back pain?
|
70-80%
|
|
|
What is the time-frame for acute, subacute and chronic lower back pain?
|
Acute: >4 weeks
Subacute: 4-12 weeks Chronic: >12 weeks |
|
|
What are the broad categories of causes of Lower Back Pain and their prevalence?
|
Idiopathic/non-specific = 70%
Specific mechanical/degenerative = 27% Red Flag Condition = 3% |
|
|
What are specific mechanical/degenerative conditions that can cause low back pain?
|
Disc problems (degenerative, herniation, bulging, thinning, osteophytes)
Spinal stenosis Spondylolisthesis |
|
|
When should you use Xrays to evaluate lower back pain?
|
Acute - red flags
Chronic - specific cause is strongly suspected (ex - spinal stenosis) |
|
|
How do you treat acute low back pain pharmacologically?
|
Superficial heat
Acetaminphen, NSAIDs, muscle relaxant, benzo, tramadol (opiod) |
|
|
How do you treat subacute/chronic low back pain pharmacologically?
|
Acetaminophen, NSAIDs, benso, antidepressants (neuropathic), tramadol (opioid)
|
|
|
What percent of lower back pain becomes chronic?
|
5-8% (most recover within 4 weeks
|
|
|
What is the timeline for acute, subacute and chronic related to time from whiplash injury?
|
Acute = <2 weeks
Subacute = 2-12 weeks Chronic = >12 weeks |
|
|
What is the Quebec task force classification of Whiplash Associated Disorder?
|
I - Neck symptoms, no physical signs
II - Neck symptoms and MSK signs III - Neck symptoms and neurologic signs IV - Neck symptoms and fracture or dislocation |
|
|
What percentage of cases of whiplash associated disorder fall into each of the quebec task force grades?
|
I & II - 80%
III - 20% IV - rare |
|
|
What are typical complaints associated with whip lash disorder?
|
Neck/shoulder/arm pain or stiffness
Headache Restricted neck ROM Dizziness |
|
|
What are treatment recommendations for grade I/II whip lash disorder (acute and chronic)?
|
Acute - Early mobilization, avoid neck collar, analgesics, NSAIDs, muscle relaxants, exercises, not enough evidence for alternative medicine
Chronic - exercises, insufficient evidence for alternative medicine |
