Term
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Definition
| Mechanical low back pain, lumbago |
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Term
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Definition
| cracked disc, strain of tendon, ligament, muscle, bad posture |
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Term
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Definition
| Natural spontaneous recovery unless strain continues (bad posture will continue) |
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Term
| Low back pain with sciatica presentation |
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Definition
| Pain along the sciatic nerve, radiating down leg. |
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Term
| Low back pain with sciatica causes |
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Definition
Degeneration: cracks in disc, travel into pulposus layer. Causes pain, bulging, herniation- pulposus squeezes out from between bones. Can be asymptomatic or can hit spinal nerve and inflame or compress.
Thinning, degeneration with osteophyte formation. |
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Term
| Intervertebral disc anatomy |
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Definition
Outer layer: annular fibrosus
Inner layer: nucleus pulposus: shock absorber
Herniated disc can hit spinal nerve and traumatize it, causing sciatica. |
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Term
| Low back pain with sciatica treatment |
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Definition
Majority of patients spontaneously recover
Be active as soon as possible.
Physical therapy
Pain meds
Epidural injection (numbing plus antiinflammatory steroid
PCA: patient controlled analgesics
Simple diskectomy: shave off fragments to release pressure on nerve |
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Term
| Discs that usually cause problems |
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Definition
| L3-4, L4-5, L5-S1 and cervical discs. |
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Term
|
Definition
| degenerative disease of spine |
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Term
| Low back pain with sciatica Diagnosis |
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Definition
| Identify which nerve is involved, which disc is herniated. |
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Term
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Definition
| Anterior pain, sensory deficit includes knee, motor problems, problem extending quad. |
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Term
|
Definition
| Lateral pain, big toe side of foot, motor weakness, dorsiflexion of foot |
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Term
|
Definition
| Posterior pain, numbness in lateral portion of foot, motor weakness, plantar flexion of foot. |
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Term
|
Definition
| Disease of nerve root- damaged by herniation |
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