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Lumbar Spine Disorder

Lumbar Spine Disease


Presentation

  • Muscle wasting is rarely seen unless the symptoms have been present for several months.[jnnp.bmj.com]
  • Upper lumbar disc prolapses may present as groin discomfort or pain down the anterior thigh.[orthopaedicsurgeon.com.sg]
  • The aim of the present study is to investigate if physiotherapy administrated before surgery improves function, pain and health in patients with degenerative lumbar spine disorder scheduled for surgery. The patients are followed over two years.[ncbi.nlm.nih.gov]
  • A review of your current activities at home and work that may or may not be causing or prolonging your present condition.[twinboro.com]
  • […] lumbar spine distraction lumbosacral spine mechanical loading movement muscle imbalance myelography nerve root neural neurological neuropathy normal nutation osteoporosis pain due pathology patient pelvis physical therapy position possible posterior present[books.google.com]
Lower Extremity Pain
  • Gluteal pain near the posterior superior iliac spine is the most common complaint, although symptoms can include groin and lower extremity pain.[healio.com]
Pleuritic Pain
  • Unlike musculoskeletal or pleuritic pain, there is little or no exacerbation with deep inspiration. Motor examination may show a paraparesis and less often a monoparesis with evidence of lower limb spasticity and sensory disturbances.[jnnp.bmj.com]
Back Pain
  • Treatment of Low Back Pain/Lumbar Spine Disorders Low back pain treatment success lands squarely on having the correct diagnosis. Appropriate treatment depends upon what the doctor concludes is the cause of the low back pain.[minneapolisclinic.com]
  • The most common surgery for back pain is called a “fusion”.[spine.org]
  • 14, 2007 Volume 11 Issue 1 Pages 12-19 Junichi KUNOKI 3 Exercise therapy for choronic low back pain Released: December 14, 2007 Volume 11 Issue 1 Pages 38-44 Toshio MIMURA 4 Pathogenesis and treatment of low back pain due to zygapophyseal joints Released[jstage.jst.go.jp]
  • It is important to differentiate lower back pain related to lumbar spine disorders from lower back pain related to strains.[aokc.net]
Low Back Pain
  • Treatment of Low Back Pain/Lumbar Spine Disorders Low back pain treatment success lands squarely on having the correct diagnosis. Appropriate treatment depends upon what the doctor concludes is the cause of the low back pain.[minneapolisclinic.com]
  • 14, 2007 Volume 11 Issue 1 Pages 12-19 Junichi KUNOKI 3 Exercise therapy for choronic low back pain Released: December 14, 2007 Volume 11 Issue 1 Pages 38-44 Toshio MIMURA 4 Pathogenesis and treatment of low back pain due to zygapophyseal joints Released[jstage.jst.go.jp]
  • Keywords Low back pain Physiotherapy Stratification Surgery Function Background Low back pain (LBP) have a lifetime prevalence to up to 84 % and is a major cause of disability with substantial socioeconomic impact globally [ 1 ].[bmcmusculoskeletdisord.biomedcentral.com]
  • back pain There are certainly many causes of low back pain, and even more treatments.[orthopaedicsurgeon.com.sg]
  • BACKGROUND: Current guidelines for the management of patients with specific low back pain pathology suggest non-surgical intervention as first-line treatment, but there is insufficient evidence to make recommendations of the content in the non-surgical[ncbi.nlm.nih.gov]
Spine Pain
  • Some of the common indications are: Spinal instability Degenerative disc disorder of lumbar spine (pain due to damaged disc) Spondylolisthesis (slippage of one vertebra on another) Spinal stenosis Surgical procedure: In this procedure the surgeon makes[drscotmiller.com]
  • Lumbar Spine Pain: Lumbar spine pain (low back pain) is a very common affection that has a tremendous impact on society through lost productivity and increased health care coasts.[aiu.edu]
  • Second, it is necessary to determine whether the acute or chronic spine pain is related to a serious underlying medical illness that is manifesting itself as spine pain.[clevelandclinicmeded.com]
  • The pain experts at Wake Spine & Pain Specialists are dedicated to accurate diagnosis of the underlying causes of your post-surgical back pain.[wakespine.com]
  • Within our condition topic centers, you can learn about symptoms, how spine pain and spinal disorders are diagnosed, imaging tests (eg, x-ray, MRI), non-surgical treatments— physical therapy , chiropractic, pain management, alternative medicine—and different[spineuniverse.com]
Acute Low Back Pain
  • Acute low back pain is a relatively common condition and is accompanied by sciatica in only 1–2% of cases. Patients presenting with acute low back pain alone are therefore unlikely to have a disc prolapse.[jnnp.bmj.com]
  • In fact, studies have shown that up to 80-90% of individuals experiencing an episode of acute low back pain become pain-free by twelve weeks after onset of their symptoms.[minneapolisclinic.com]
  • Malmivaara A, Häkkinen U, Aro T, et al: The treatment of acute low back pain: Bed rest, exercises, or ordinary activity? N Engl J Med 1995;332:351-355.[clevelandclinicmeded.com]
  • Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain. Arthritis Rheum. 2009;60(19):3072–80.[bmcmusculoskeletdisord.biomedcentral.com]
  • About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.[ninds.nih.gov]
Buttock Pain
  • When evaluating labral tears, Burnett et al 4 noted that 92% of patients had groin pain, 59% had lateral hip pain, 52% had anterior thigh/knee pain, and 38% had buttock pain.[healio.com]
  • Common Symptoms Include: Hip, lower back, or buttocks pain Stiffness in the pelvic region Tingling or burning in the lower back or legs Pain while transitioning from one position to the next (such as from sitting to standing) Buckling of the legs Sciatica[newyorkcityspine.com]
  • If the narrowing is substantial, it causes compression of the spinal cord or spinal nerves, which causes the painful symptoms of lumbar spinal stenosis, including low back pain, buttock pain, and leg pain and numbness that is made worse with walking and[medicinenet.com]
  • The most common symptoms of SI joint syndrome include: Low back pain Buttock pain Thigh pain Difficulty sitting in one place for too long due to pain Top of Page Rheumatoid Arthritis Rheumatoid (room-a-toyd) arthritis or RA is a disease that affects all[triadspine.com]
Facial Pain
  • Common psychogenic pain syndromes include chronic headache or low back pain; atypical facial pain; or pelvic pain of unknown origin. Some cases of psychogenic pain belong to a group of mental disorders known as somatoform disorders.[aiu.edu]

Workup

  • […] invasive Plain lumbar films: Generally not helpful in the diagnosis, except to rule out other diseases and to evaluate for possible skeletal etiology as the cause of the patient's symptoms Bone scanning: To rule out tumors, trauma, or infection See Workup[emedicine.medscape.com]
  • ., Lumbosacral Facet Syndrome Workup, 2015, Medscape.[physio-pedia.com]
  • Such symptoms should trigger an urgent workup that includes MRI studies and possibly neurosurgical consultation. Acute Low Back Pain Acute spine pain is very common, and the likelihood of spontaneous recovery is in the range of 80% to 90%.[clevelandclinicmeded.com]
Pseudomonas
  • Pseudomonas species osteomyelitis is rare and most commonly associated with intravenous drug abuse. In most cases, symptoms have been present for less than six months.[jnnp.bmj.com]

Treatment

  • DISCUSSION: The study findings will help improve the treatment of patients with degenerative lumbar spine disorder scheduled for surgery.[ncbi.nlm.nih.gov]
  • A limitation of the study is that the treatments cannot be blinded to patient and treatment provider.[bmcmusculoskeletdisord.biomedcentral.com]
  • Treatments available Simple treatments such as bed rest (not more than 24 to 48 hours), application of heat or cold to the affected area, and application of local liniments should be effective in relieving most minor discomforts.[orthopaedicsurgeon.com.sg]
  • An expert consultant will discuss your medical history with you, carry out a physical examination and talk you through the treatment options.[itsmyspine.co.uk]
  • These patients warrant urgent investigation and treatment.[jnnp.bmj.com]

Prognosis

  • Use of proper mechanics, proper posture, body mechanics and awareness of the do’s and don’ts for a healthy back is necessary for a good long-term prognosis.[twinboro.com]
  • The prognosis of LBP is multifactorial and therefore it is of interest to understand other factors apart from pre-habilitation that can influence short- and long term outcome.[bmcmusculoskeletdisord.biomedcentral.com]
  • Prognosis [ 1 ] The prognosis for acute sciatica is favourable for most people. The herniated portion of an intervertebral disc causing sciatica tends to regress over time and 66% of people have at least partial resolution after six months.[patient.info]
  • Lumbar spinal stenosis: Treatment and prognosis. . Accessed March 7, 2017. Kim K, et al. Nonsurgical Korean integrative treatments for symptomatic lumbar spinal stenosis: A three-armed randomized controlled pilot trial protocol.[mayoclinic.org]
  • Extensive surgery is also seldom undertaken in patients in whom the prognosis is considered to be less than three months.[jnnp.bmj.com]

Etiology

  • To understand the lumbar disorders of athetoid CP patients and the etiology based on the results from the FEM study. Cervical spondylotic myelopathy is a well-identified spinal disorder associated with cerebral palsy, especially in athetoid type.[journals.lww.com]
  • Background & Etiology The lower back can be divided functionally and anatomically into three separate areas, the lumbar spine, the sacrum, and coccyx. The lumbar spine includes five lumbar vertebra (L1-L5), and five intervertebral discs.[twinboro.com]
  • […] muscle weakness and truncal imbalance has been implicated as primary etiology (little evidence to support) pelvic obliquity leads to deforming forces on spine and scoliosis Natural history the larger the curve the more likely it is to progress larger[orthobullets.com]
  • […] scanning: Useful but less sensitive than MRI Myelography: May provide definitive diagnosis itself, but technique is invasive Plain lumbar films: Generally not helpful in the diagnosis, except to rule out other diseases and to evaluate for possible skeletal etiology[emedicine.medscape.com]
  • Up to 85 % of LBP is considered to have non-specific etiology [ 2 ] when the mechanism for LBP cannot be clearly identified.[bmcmusculoskeletdisord.biomedcentral.com]

Epidemiology

  • Warfield, professor of anesthesiology at Harvard Medical School (2008) · Dworkin SF, Von Kolff, and LeResche (1990), Multiple Pain and Psychiatric distrurbane, an epidemiologic investigation. · Gottliab BS (1986), Predicting outcome in pain programs.[aiu.edu]
  • Back to Top References Andersson GBJ: Epidemiologic features of chronic low-back pain. Lancet 1999;354:581-585.[clevelandclinicmeded.com]
  • To better understand the activities which significantly contribute to work-related injuries, the National Institute of Occupational Safety and Health (NIOSH), a division of the Center for Disease Control, reviewed over 40 epidemiological studies, and[csosortho.com]
  • It’s more likely at this level that the dorsal ramus blockades, rather than the medial branch. (9)(48)(49) Epidemiology /Etiology LBP is a major cause of disability and is the most common reason for medical consultations because this pain problem interferes[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of pain can be understood better if discussed in more details in separate section. Pathophysiology of Pain: Pain is a common experience to every one.[aiu.edu]
  • Back to Top Pathophysiology The pathophysiology of nonradicular low back pain is usually indeterminate. In fact, one of the defining features of this disorder is its nonspecific etiology.[clevelandclinicmeded.com]
  • Pathophysiology Discitis is inflammation of the vertebral disc space. It is usually associated with infection and can co-exist with vertebral osteomyelitis (spondylodiscitis). It most commonly affects the lumbar spine.[patient.info]

Prevention

  • Physical therapy is recommended to develop a series of stretching and strengthening exercises to prevent reoccurrence of the injury. Return to activity should be gradual to prevent a flare up of symptoms.[twinboro.com]
  • Use protective pads and pants to prevent leaks.[orthoinfo.aaos.org]
  • In this group of children, pars defects were successfully prevented and MRI abnormalities were normalized. The study demonstrates how early detection through MRI can be key in determining the proper course of treatment and prevention.[livehealthy.chron.com]
  • In fact, much research has been focused on these Neuroplastic changes and methods to prevent these changes from occurring.[aiu.edu]
  • Prevention Techniques for proper lifting, sitting, standing, and posture may prevent herniated discs. When lifting heavy objects, people should use their leg muscles instead of their backs and avoid twisting while lifting.[innerbody.com]

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