Presentation, patient education02102011
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- The sacroiliac (SI) joint is a common but overlooked cause of lower back pain, accounting for up to 15-30% of cases. It connects the sacrum to the pelvis and is a common site for injury or inflammation. - Diagnosing SI joint pain can be challenging as symptoms often mimic other back issues. Imaging may be misleading and diagnostic SI joint injections are usually needed. Physical exams like distraction, compression, and Patrick's tests can help identify SI joint involvement. - Treatment begins conservatively with physical therapy, bracing, medications, and SI joint injections. For those who fail conservative care, minimally invasive surgery like radiofrequency ablation or SI joint fusion
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This document discusses lower back pain that originates from the sacroiliac joint. It provides information on the anatomy of the spine and sacroiliac joint, symptoms of sacroiliac joint pain, methods for diagnosing sacroiliac joint issues, and treatment options. Diagnostic methods include imaging, physical exams, and sacroiliac joint injections. Conservative treatment involves medications, physical therapy, belts, injections, or radiofrequency ablation to reduce pain. Surgical options aim to decrease joint mobility through minimally invasive implants. The goal of treatment is to both reduce pain symptoms and lower mobility at the problematic sacroiliac joint.
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Let me know if you need any of the full references included. I selected sources that would be relevant to further examining and treating this particular low back
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Effectiveness of Progressive Inhibition of Neuromuscular Structures (PINS) an...
Abstract- Background and aim: Lumbar disc herniation with radiculopathy has been one of the most difficult conditions to manage in orthopedic manual therapy. While there are many clinical studies concerning the standardization of surgical treatment, there is to date no standardized literatures for the most effective non-operative care for lumbar disc herniation with radiculopathy which suggest that extreme measures to ameliorate lumbar disc herniation with radiculopathy are urgently warranted. In this study, a 35 year old man who was diagnosed with lumbar disc herniation and was planned for lumbar surgery due to failure of medical interventions was successfully treated using non-operative management.
Method: The management of the patient included Progressive Inhibition of Neuromuscular Structures (PINS), Spinal Mobilization with Leg Movement (SMWLM) and Therapeutic exercises inform of lumbar stabilization and stretching exercises. The patient was seen three times in a week over the period of 6 weeks after which the patient was discharged home without having lumbar surgery. Patient was assessed before and after treatments and during one and two year follow-ups using; Visual Analogue Scale (VAS) in the back and leg, Sciatica Bothersome Index (SBI), Sciatica Frequency Index (SFI) and Rolland-Morris Disability Questionnaire (RMDQ) for sciatica.
Results: After six weeks of management the patient had decreased in functional limitation (from 19 to 6), back pain (from 8 to 0), leg pain (from 10 to 2), sciatica frequency (from 18 to 8) and sciatica bothersomeness (from 18 to 8). These outcomes were maintained after one and two year follow-ups.
Conclusion: Progressive inhibition of neuromuscular structures and spinal mobilization with leg movement are effective in the management of patients diagnosed with lumbar disc herniation with radiculopathy.
Implication: Progressive inhibition of neuromuscular structures and spinal mobilization with leg movement may be considered as useful therapeutic non-operative measures for patients diagnosed with lumbar disc herniation with radiculopathy.
Index Terms- Progressive Inhibition of Neuromuscular Structures; Spinal Mobilization with Leg Movement; Lumbar Disc Herniation with Radiculopathy.
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This document discusses various pathologies that can affect the elbow and forearm. It covers conditions such as ligament sprains, epicondylitis (tennis and golfer's elbow), osteochondritis of the capitellum (Panner's disease and OCD), distal biceps rupture, olecranon bursitis, neurologic injuries, elbow dislocations, and fractures of the humerus, ulna and radius. Treatment options ranging from rest, bracing and physical therapy to surgery are presented for each condition.
Back pain
1. Low back pain is very common, affecting 60-90% of people at some point in their lifetime. While most cases resolve within 6-12 weeks without treatment, it is a major cause of disability.
2. Common causes of low back pain include lumbar strain, disc problems, spinal stenosis, and degenerative disc disease. Diagnostic tools like x-rays, MRI, and occasionally CT or myelogram are used to identify the underlying problem.
3. MRI is now the best initial tool for evaluation, as it can detect soft tissue abnormalities like herniated discs. However, many asymptomatic people also show disc bulges or protrusions on imaging. Psychological evaluation may be useful when physical findings do not explain
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