back pain

Question 1

what is simple backache

Answer 1

lumbosacral region, buttocks and thigh

• mechanical
• 20-55 yrs

Question 2

what is nerve root pain

Answer 2

unilateral leg pain
pain radiates to foot or toes
numbness and parasthesia

Question 3

what is cauda equina syndrome

Answer 3

• saddle anaesthesia
• difficulty with micturition
• loss of anal sphincter tone or faecal incontinence
• widespread or progressive motor weakness in the legs or gait disturbance

you just shit and piss yourself

Question 4

what are characteristics of inflammatory disorders

Answer 4

• gradual onset
• marked morning stiffness
• limitation of spinal movement
• periperal joint involvement

Question 5

management of back pain

Answer 5

• advice
• drugs (NSAIDs) (diazepam)
• physio
• X-ray/MRI
• surgery
• pain management

Question 6

what are characteristics of referred leg pain

Answer 6

• dull/knawing
• buttock/thigh
• rarely below knee
• ill defined sensory symptoms

Question 7

what are characteristics of root leg pain

Answer 7

• sharp/shooting/electric
• invariably below knee to foot and ankle
• sciatica

Question 8

what are some neurological symptoms that can show in the leg

Answer 8

• paraesthesia
• numbness
• weakness

Question 9

how does Cauda Equina syndrome affect the bowl/urinary?

Answer 9

• incontinence
• saddle anaesthesia
• can be leg symptoms

Question 10

what are some causes of referred back pain

Answer 10

• peptic ulcer disease
• gall bladder
• pancreatic
• renal
• uterine/ovarian
• colonic
• dissecting aortic aneurysm

Question 11

what are the primary metastases to bone

Answer 11

Breast
Bronchus
Prostate
Thyroid
Kidneys

bad boys pee through kidneys

Question 12

what are the yellow flags for back pain

Answer 12

Low mood
High levels of pain/disability
Belief that activity is harmful
Low educational level
Obesity
Problem with claim/compensation (secondary gain) 
Job dissatisfaction
Light duties not available at work
Lot of lifting at work