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Date:10th-Mar-2009
BACKPAIN
Upright posture
IMPACT OF BACK PAIN
80% of adults
experience backpain.
9/10 instances LBA is
transient.
LBA increasing
sedentary lifestyle
obesity
IMPACT OF BACK PAIN
Absenteeism
Workman’s compensation
Lecture Plan
Anatomy of Spine
Normal Biomechanics
Causes of LBA
Red Flags
History
Investigations
Treatment
Anatomy
Cervical 7
Thoracic 12
Lumbar 5
Sacral 5
Coccyx 4
Anatomy
Pain generators
Facet joint
Nerve roots
Dorsal root ganglion
Periosteum
Vertebral blood vessel
ALL,PLL,SL
Etiology
Mechanical postural
acute back strain
obesity
‘Extra-spinal’ pancreatitis
dissecting aortic aneurysm
Kyphosis x 2
Lordosis x 2
Normal Biomechanics
Static erect position spine balances against
gravity using minimum energy
Movements IVDP,Infection
Stooping Canal stenosis
RADIATION OF PAIN
‘Sciatica’
Facet joint disease
CLAUDICATION PAIN
Vascular
Neurogenic
NEUROLOGICAL INVOLVEMENT
Paraesthesia
Weakness
Bladder/bowel
EXAMINATION
General examination
Anemia
Pallor
Clubbing
Lymphandenopathy
Psychological assessment
Local
Inspection:
Alignment
Paraspinal spasm
Deformity
Gibbus
Swelling
Local Examination
Feel
Tenderness
Step
Movements
Flexion,Extension
Nerve tension signs
SLRT
Laesegue
Bowstring
Hip joint
SI Joint
Abdomen
Peripheral pulses
Neurological examination
Motor
Sensory
Reflexes
Per rectal exam
Investigations
Hb
TC DC
ESR/CRP
RBS
Xrays Ap/Lat views
Degenerative
Xray
Infection
Xray
Fracture
Xray
Spondylolisthesis
Scoilosis
CONCLUSION
Appropriate management
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author and Christian Medical College, Vellore.
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