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Lumbosacral Instability

Instability of Lumbosacral Joint


Presentation

  • Presented at the 13th Annual Meeting of the North American Spine Society.[books.google.com]
  • The components of mechanical and FLI are presented relative to the development of a physical therapy diagnosis and management” (NCBI).[coloradoactivehealth.com]
  • It is also found far more frequently if spondylolisthesis is present.[coxchirocare.com]
  • Its design and placement make it very effective for use on postlaminectomy patients presenting instability.[vjortho.com]
  • Normal L5 on S1 presentation (left) and Grade 1 spondylolisthesis of L5 on S1 (right). Fig 2. Hypermobility seen in a young gymnast. Another term that is being utilized, at present, is "Functional Instability".[spinalphysio.kornberg.net]
Italian
  • [Article in English, Italian] Author information 1 Divisione di Chirurgia del Rachide, Istituto Ortopedico Rizzoli, Bologna.[ncbi.nlm.nih.gov]
  • Proceedings of the 24th National Congress of the Italian Spine Society. Eur Spine J 2001; 10: 252-62. Christie SD, Song JK, Fessler RG. Dynamic Interspinous Process Technology. Spine 2005; 30 (16 Suppl.): S73-8. Senegas J, Bernard P.[medigraphic.com]
Turkish
  • Professor of Neurosurgery Past President of the Turkish Neurosurgical Society Past President of the World Spinal Column Society Honorary President of the Middle East Spine Society[books.google.com]
Fecal Incontinence
  • One patient who had experienced two operations before and with problems of urinary and fecal incontinence and walking difficulty still had lower limb pain, muscle weakness and urinary incontinence after operation.[ncbi.nlm.nih.gov]
  • Any neurologic compromise, (eg, numbness in the lower extremity, motor weakness) or any urinary or fecal incontinence syndrome indicates the possible presence of disc prolapse, nerve root impingement, or spinal canal stenosis. [11] (See also the Medscape[emedicine.medscape.com]
Back Pain
  • Methods: In the course of this study, consecutive anteroposterior and lateral radiographs of 197 symptomatic individuals (low back pain) were analyzed between January 2012 and December 2014.[ajol.info]
  • It is estimated that around 80% of people will suffer some form of pain, injury, or lack of movement due to back pain.[coloradoactivehealth.com]
  • J Bone Joint Surg Am ‏ الصفحة 72 - Saal JS, Saal JA (2000) Management of chronic discogenic low back pain with a thermal intradiscal catheter.[books.google.com]
  • Back pain is very treatable with Prolotherapy, see our main page Prolotherapy for back pain for more information.[caringmedical.com]
  • See How a Physical Therapist Can Help with Exercise Article continues below Examples of Exercises Learn more about hamstring stretches for back pain relief: See Specific Hamstring Stretches for Back Pain Relief Hamstring Stretch A passive exercise using[spine-health.com]
Low Back Pain
  • Methods: In the course of this study, consecutive anteroposterior and lateral radiographs of 197 symptomatic individuals (low back pain) were analyzed between January 2012 and December 2014.[ajol.info]
  • J Bone Joint Surg Am ‏ الصفحة 72 - Saal JS, Saal JA (2000) Management of chronic discogenic low back pain with a thermal intradiscal catheter.[books.google.com]
  • Physical therapy for low back pain Physical therapy is the major component of the conservative approach to low back pain. The Caring Medical experience is that the results are often disappointing.[caringmedical.com]
  • "A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study." Ann Intern Med 2004; 141: 920-928.[thestudentphysicaltherapist.com]
Acute Low Back Pain
  • ACA J of Chiropractic 1991; December, pgs 21-24 The authors present a case of a 24-year-old Hispanic hyperkyphotic male with a complaint of acute low back pain as the result of a bending and pulling injury.[coxchirocare.com]
  • Among the top 20 was: avoiding early imaging (MRIs et al) Do not add cyclobenzaprine or oxycodone to naproxen for patients with acute low back pain encourage patients with chronic or recurrent low back pain to walk.” 2 At Caring Medical we have to agree[caringmedical.com]
  • Research has shown that both chronic and acute low back pain patients have benefited from some kind of active exercise (1).[elitesportstherapy.com]
  • Limitations of these study are mainly due to two factors: in the upright position, patients with acute low back pain may find it difficult to maintain the immobility necessary for the duration of the imaging acquisition with a duration of at least 4 min[omicsonline.org]
Neurogenic Claudication
  • claudication compression of nerve which may result in loss of blood flow to nerve tissue, associated with spinal stenosis Bicycle Test of Van Gelderen pedal against resistance, LE produced, lean forward ( ) resolve neurogenic cluadcation IVD Tx -decrease[quizlet.com]
  • Claudication [in the Physical Medicine and Rehabilitation section].)[emedicine.medscape.com]
  • Upright and positional MRI can demonstrate changes in intersegmental motion that may correlate with clinical symptoms of Low Back Pain and neurogenic claudication. As yet, however, no published studies have dealt with this topic.[omicsonline.org]
Spine Pain
  • Injection therapy for enthesopathies causing axial spine pain and the “failed back syndrome”: a single blinded, randomized and cross-over study.[caringmedical.com]
Incontinence
  • One patient who had experienced two operations before and with problems of urinary and fecal incontinence and walking difficulty still had lower limb pain, muscle weakness and urinary incontinence after operation.[ncbi.nlm.nih.gov]
  • Reference articles Urinary Incontinence [in the Emergency Medicine section], Fecal Incontinence [in the Obstetrics/Gynecology section], Nerve Entrapment Syndromes of the Lower Extremity [in the Orthopedic Surgery section], Spinal Stenosis [in the Neurosurgery[emedicine.medscape.com]
  • If severe, loss of coordination and bowel or bladder incontinence may occur. About this Condition Trauma to the spine refers to injury that has occurred to bony elements, soft tissues and/or neurological structures.[acsneuro.com]

Treatment

  • Both diagnoses require some level of treatment so the patient can return to normal activity levels quickly.[coloradoactivehealth.com]
  • Abstract Lumbosacral circumferential fusion, a method which is widely adopted for the treatment of the different causes of lumbar pain, may be carried out in a single stage by posterior approach, associating interbody fusion with cages with posterolateral[ncbi.nlm.nih.gov]
  • PY - 2001 Y1 - 2001 N2 - Lumbosacral circumferential fusion, a method which is widely adopted for the treatment of the different causes of lumbar pain, may be carried out in a single stage by posterior approach, associating interbody fusion with cages[moh-it.pure.elsevier.com]
  • The authors of the textbook stay on the side of dynamic fixation of the spine and find it a very valuable option for the treatment of degenerative disease in comparison to fusion surgery.[books.google.com]
  • What treatments are available? If your doctor determines that lumbar spinal stenosis is causing your pain, he or she will usually try nonsurgical treatments at first.[spine.org]

Etiology

  • The degeneration is a natural result of aging, and the etiology of the very common symptom, back and leg pain. Problems of diagnosis, indications and the type of surgery are still discussed.[books.google.com]
  • ETIOLOGY OF THE LUMBAR STENOSIS 7. Lumbar Stenosis - Developmental 8. Lumbar Stenosis - Degenerative Spondylolisthesis 9. Lumbar Stenosis - Isthmic Spondylolisthesis 10. Lumbar Stenosis - Congenital 11.[slideshare.net]
  • Spinal instability has its greatest etiology from the intervertebral disc itself. When the disc degenerates, it loses its elastic properties and allows excessive motion of one vertebra on its adjacent one.[coxchirocare.com]
  • RELEVANCE TO CLINICAL PRACTICE The pathophysiology of instability is highly variable depending on the etiology.[now.aapmr.org]

Epidemiology

  • Spinal injury in sport: epidemiologic considerations. Clin Sports Med. 1993 Jul. 12(3):441-8. [Medline]. Wilkerson GB, Giles JL, Seibel DK.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • RELEVANCE TO CLINICAL PRACTICE The pathophysiology of instability is highly variable depending on the etiology.[now.aapmr.org]

Prevention

  • The lumbar corset is also used after most lumbar spinal surgeries to provide additional low back support, thus preventing muscles from rapidly fatiguing during recovery.[coloradospineinstitute.com]
  • Once acute pain improves, your doctor or a therapist can design a rehabilitation program to help prevent recurrent injuries.[acsneuro.com]
  • This is why you want to guard your spine from becoming further unstable or staying unstable longer than can be prevented. You ask what the chiropractor might do to correct or prevent your spinal instability from advancing further.[drlumbago.com]
  • Active bending may also present as a 'circular trunk movement' as if the body is rolling around the rim of the vertebra below as a means of preventing shear. Instability is the final stage of breakdown of a spinal segment.[simplebackpain.com]
  • Before surgery patients carry out their bodily needs, wash themselves with special antibacterial soap and have stockings put on their lower extremities to prevent blood clots in the veins.[nemlib.cz]

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