Back Pain
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Medical Student Education Series: Core Orthopaedics
ALL ABOUT copyright 2009 eugene[sic]
TA PTA
FRACTU RE TUMOU R
P TA P
FRACTU RE TUMOU R (metastasis,nigh
Fracture, Tumour, Infection Disciitis. 10 yo
Lung cancer presented as LBP x 3 wks,68
L5 crush
Hot bone scan L2 osteomyelitis , 3 wks LBP,
Children with back pain AAA, (investigate thoroughly)68 yo,M. Night pain
HNP:Back pain
Disc rupture, 32 yo,F
HNP: Treatment • • • • • • •
Brief rest Analgesia Weight loss Fitness program Injections Physiotherapy and manipulation Occasionally surgery
Cauda equina foot drop
L5 S 1 disc rupture , 21 yo,with cauda equina
LBP + Leg pain Claudication (VASCULAR) • NO leg pulses • Distal(calf) pain with exercise
Pseudo claudication (NEUROGENIC, spinal • Pulse • Pain(proximal), numbness and weakness with exercise • Leans forward on supermarket trolley to ease Spinal stenosis, 80 yo., severe p
Spinal Instability -spondylolisthesis L4 5 slip. 21 Spondylo loptosis
Spondylolopt osis
ALL ABOUT copyright 2009 eugene[sic]
TA PTA
FRACTU RE TUMOU R
P TA P
FRACTU RE TUMOU R (metastasis,nigh
Fracture, Tumour, Infection Disciitis. 10 yo
Lung cancer presented as LBP x 3 wks,68
L5 crush
Hot bone scan L2 osteomyelitis , 3 wks LBP,
Children with back pain AAA, (investigate thoroughly)68 yo,M. Night pain
HNP:Back pain
Disc rupture, 32 yo,F
HNP: Treatment • • • • • • •
Brief rest Analgesia Weight loss Fitness program Injections Physiotherapy and manipulation Occasionally surgery
Cauda equina foot drop
L5 S 1 disc rupture , 21 yo,with cauda equina
LBP + Leg pain Claudication (VASCULAR) • NO leg pulses • Distal(calf) pain with exercise
Pseudo claudication (NEUROGENIC, spinal • Pulse • Pain(proximal), numbness and weakness with exercise • Leans forward on supermarket trolley to ease Spinal stenosis, 80 yo., severe p
Spinal Instability -spondylolisthesis L4 5 slip. 21 Spondylo loptosis
Spondylolopt osis
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