PHTY301 Lecture Notes - Lecture 3: Radicular Pain, Axial Spondyloarthritis, Spinal Stenosis
Document Summary
Smoking, overweight, depression, lack of sleep: cost of lbp, overall health costs in australia - billion in 2001 = huge health burden. Ligament: there is a level of precision used to label source of symptoms, depends on location, palpation and specific tests, peripheral joints we can be more specific - mcl in knee, atfl in ankle. Indicates sensitisation of the nerve from compression or chemical irritation: radiculopathy, neurological signs and symptoms (numbness, p&n"s, weakness, reflexes) Spinal stenosis: bilateral s&s"s, bladder and bowel - indicates pressure on spinal cord, pressure is on the central canal = bilateral, non-specific lbp (nslbp), 90-95% of cases, diagnosed by exclusion of first two categories. Specific disorders: <20% of spinal pain (specific and radicular syndrome) Fracture: tumour, ankylosing spondylitis (and other inflammatory disorders, disc protrusion with radiculopathy. Location, nature and behaviour of symptoms: relationship b/w spinal movement/posture and symptoms (pain, etc. )
