Injuries to spinal cord and vetebral bodies

Injuries to spinal cord and vetebral bodies - • Severe...

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Injuries to spinal cord and vetebral bodies Back pain Back pain: 90% mechanical 5% disc lesions 5% other (infection, malignancy, spinal stenosis) There are 5 patterns of back pain: Transient: Usually following muscular activity. Treatment is rest and gradually increase activity. Sudden acute + sciatica: Under 20's is usually caused by infection/spondylithesis. 20-40's usual cause is disc prolapse. 40+ usual cause is osteoporosis compression fracture Chronic lower back pain + sciatica: > 40 – due to facet joint dysfunction, osteoarthritis etc. Need to exclude ankolysing spondylitis. Pain and pseudoclaudication: > 50 – back pain worse on walking
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Unformatted text preview: • Severe and constant: lo cal bone pathology, fracture, paget's, tumour, infection RED FLAGS!! Always remember to look out for these signs as they may point to serious pathology: • Paraesthesia, weakness • Anorexia, weight loss • Bowel and bladder symptoms Other history questions's: • Pain more in legs or back? Back = mechanical, Legs = disc problem. • Psychosocial impact – work, sport etc. .... Causes: • Mechanical – usually following trauma, should be transient. Can become chronic. Management: • Encourage mobility. • Analgesia. • Return to work. • Surgery often makes it worse....
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Injuries to spinal cord and vetebral bodies - • Severe...

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