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5 Cards in this Set
- Front
- Back
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Lumbar Strain |
-Sudden extension contraction with some type of rotation, chronic strain from posture and mechanics. -Pain diffuse or localized w/ active extension & passive flexion. -RICE, followed by stretching & strengthening, NSAIDs, bed rest |
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Lumbar Sprain |
-Forward flexion & rotation, chronic. -Localized pain lateral to spinous process, pain sharper w/ certain movements or postures. -RICE, strengthen abs, stretching, trunk stabilization exercises. |
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Herniated Disk |
-Flexion & rotation, in L4-L5 & L5-S1, abnormal stresses & degeneration due to use. -Episodic, centrally located pain radiates unilaterally in dermatomal pattern, pain when sitting & bending forward, extension reduces pain. Slump test, SLR test, kernig test. -Ice & stim (pain reducing modalities), manual traction & extension exercises, strengthening exercises, possibly surgery. -prolapsed: nucleus moves completely through annulus. -extruded: bulging, contact w/ nerve root. -sequestrated: nucleus escapes & migrates. |
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Lumbar Fracture & Dislocation |
-Compression Fracture, trunk hyperflexion or falling from a height, dislocations rare, result of direct blow. -X-ray for detection, point tenderness, palpable defects over spinous or transverse processes. -X-ray and physicians referral, transport with caution.
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SI Joint Dysfunction |
-Twisting w/ both feet on ground, stumble forward, fall back, step too far down, heavy landing on one leg, bend forward w/ knees locked during lift; possible anterior or posterior rotation of one side of pelvis; hypomobility w/ pelvic rotation. -Palpable pain over joint medial to PSIS, pelvic asymmetries, increased pain during side bend, pain radiating posteriorly, laterally or anteriorly down thigh, increased pain w/ unilateral stance. Faber Test, forward flexion test, sacral compression/distraction test. -Modalities can reduce pain, bracing helpful, SI joint mobilization to correct positioning, strengthening exercises. |
