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3 - Lumbar Radiculopathy

Terms in this set (59)

what is radiculopathy?
DISEASE OF SPINAL NERVE ROOTS
PAIN FOLLOWS DISTRIBUTION OF 1 OR MORE ROOTS
where is common site?
LUMBAR SPINE
pain is due to what?
PRESSURE
INFLAMMATION
IRRITATIONS OF NERVE ROOT
causes of this?
RUPTURED OR HERNIATE DISK
BONE OR CORD TUMORS
EXOSTOSES (BONE SPURS)
SPINAL STENOSIS
INFECTION/INFLAMMATION
SYSTEMIC DISEASE (DIAB MEL)
spinal stenosis in what direction?
LATERAL AND/OR CENTRAL
what are signs/symptoms?
LOW BACK PAIN (RADIATES DOWN)
LE MUSCLE WEAKNESS/SPASM
PARESTHESIAS
LUMBAR SCOLIOSIS (FROM SPASM)
big cause of work related disability of men under 45 is
LBP
how much of their comp claims?
40%
what percent of people get at least 1 episode of lbp?
85%
how many will be back to normal in 2 weeks and in 6 weeks?
70%
90%
how many show disk herniation, how many need surgery
40%
2%
what does the pain feel like?
UNILATERAL BELOW KNEE (CAN BE BI)
DULL, BURNING, LANCING
RADIATING
POSTEROLATERAL
AGGRAVATED BY ACTIVITY
IMPROVED DURING REST (ACUTE)
in chronic syndrome when is the pain?
CONSTANT
what are mechanical causes of disk degen?
MICROTRAUMA (ROTATIONAL)
TRAUMA (SNEEZE, FALL, LIFTING, VIBRATION)
SMALL TEARS ON EDGE OF ANNULUS
WEAK ANNULUS = BULGES = INC PRESSURE IN N. PULPOSUS
what if you have repeated stress on the disk?
CIRC TEARS JOIN, MAKE LARGER RADIAL TEAR
HERNIATED MATERIAL PASSES THROUGH TEAR
LOSS OF DISK HEIGHT = DISRUPT NORMAL JOINT FUNCTION
PROGRESSIVE DEGEN, PAIN
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