Licina low back pain
-
Upload
spineplus -
Category
Health & Medicine
-
view
76 -
download
1
Transcript of Licina low back pain
![Page 1: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/1.jpg)
acuteLBP≠chronicLBP
LOWBACKPAIN
• acutetissuetrauma• self-limiting• stayactive,bepositive
• dysfunctioninnervoussystem• long-lasting• multidisciplinaryinterventions
genetic
psychosocial
![Page 2: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/2.jpg)
What causesbackpain? SEGMENTALINSTABILITY
DISCOGENICPAIN
FACETOGENICPAIN
SOFT-TISSUERELATEDUNKNOWNCAUSE
CHRONICLOWBACKPAIN
![Page 3: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/3.jpg)
SEGMENTALINSTABILITY
DISCOGENICPAIN
FACETOGENICPAIN
SOFTTISSUE/UNKNOWNCAUSE
CHRONICLOWBACKPAIN
What causesbackpain?
![Page 4: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/4.jpg)
DISEASE DIAGNOSISsymptomsandsigns
Hx,Ex&Ix
TREATMENTCUREdirectedatpathology
THEMEDICALMODEL
![Page 5: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/5.jpg)
DISEASE DIAGNOSISsymptomsandsigns
Hx,Ex&Ix
functionaloverlay
15%normaldegenerative processvspathology
notdiscreteillness
THEMEDICALMODEL
![Page 6: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/6.jpg)
USUALNONOPERATIVETREATMENTSGENERALLYINEFFECTIVE
CHRONICLOWBACKPAIN
multidisciplinaryapproach
![Page 7: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/7.jpg)
SEGMENTALINSTABILITY
DISCOGENICPAIN
FACETOGENICPAIN
SOFTTISSUE/UNKNOWNCAUSE
CHRONICLOWBACKPAIN
What canwetreat
surgically?
![Page 8: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/8.jpg)
DECISIONWHETHERTOOPERATEISDIFFICULT
surgeryisnotuniversallyeffective
DEGENERATIONDOESNOTALWAYS
EQUALPAIN
incidenceofdegenerativechangesonx-raybackpainpopulation=normalpopulation
CHRONICLOWBACKPAIN
![Page 9: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/9.jpg)
![Page 10: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/10.jpg)
• 38yearoldfemale• 18/12ofworseninglowbackpain• Conservativetreatmentforpastyear• Simpleanalgesics• Flaresofbackpainbecomingmorefrequent• Fit,activelifestyle• Recentlyceasedrunningandregularsport• Workingbutwithdifficulty• NoWorkCover/legalclaim
• Mildrestrictionofforwardflexion• Normalneurologicalexamination
![Page 11: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/11.jpg)
![Page 12: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/12.jpg)
![Page 13: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/13.jpg)
![Page 14: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/14.jpg)
![Page 15: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/15.jpg)
• 76y.o.retiredfarmer• Longhistoryofmildbackache• Recentchangewithsharp,catchingleft-sidedbackpain
• Vaguelegdiscomfortcausingnofunctionallimitations
• Tenderleftlowback• Painonhyperextension• Noneurologicaldeficit
![Page 16: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/16.jpg)
![Page 17: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/17.jpg)
![Page 18: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/18.jpg)
![Page 19: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/19.jpg)
![Page 20: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/20.jpg)
![Page 21: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/21.jpg)
![Page 22: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/22.jpg)
• 32yearoldmanualworker• Suddenbackpainwithrepetitivelifting• Offworksinceinjury,9monthsago• WorkCoverclaim,consideringlitigation• Highnarcoticintake• Spendsmajorityoftimeinbed,resting
• VeryrestrictedROMinalldirections• Markedabnormalillnessbehaviour
![Page 23: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/23.jpg)
![Page 24: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/24.jpg)
![Page 25: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/25.jpg)
![Page 26: Licina low back pain](https://reader031.fdocuments.in/reader031/viewer/2022022203/587541931a28abb8208b5207/html5/thumbnails/26.jpg)