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Lumbar Injury Hx
Histories of the injurieries for Lumbar Spine
Question | Answer |
---|---|
Facet joint Dysfunction | Hx: Sudden Lumbar EXT, lateral bending or ROT. Sciatic-like symptoms in LE although no sciatic impingement is present. |
Lumborsacral Sprains and Strains | Hx: Sudden FLEX. twisting or lifting MOI. Sudden impact force and onset of P!. Muscle spasm may prevent normal posture or motion and P! radiate down to buttock |
Disk Pathologies and Nerve Root Impingment | Hx: Single incident (bending/twisting) actue P! but atucal degenerative is more insiduous. LBP or referred unilater leg P!. Hook-lying position decreases pain sleep disturbance |
Cauda Equina syndrome | Hx: Prior lumbar FX, central disk heriation, epidural hematoma or other compressive trauma LB. Symptoms immediately or gradually. Saddle anesthesia, lack of control w/ urination BM, SD or sensation or weakness in both legs |
Spondylolysis and Spondyoyloylisthesis | Hx: Lumbar spine repeatedly hyperEXT, P! radiating into buttocks or down to knee, mostly P! localized around belt area Bi or Unilaterally. P! dull, aching & cramping in LB. P! Agrgravated with standing, trunk EXT & ROT |
Vertebral Fx & Dislocations | Sudden FLEX. unstable fx can impinge spinal cord causing numbness, weakness paralysis . if only bone or ligaments affected, paralusis is not present. |