Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Subjective examination lumbar spine
Similar to Subjective examination lumbar spine (20)
Recently uploaded
Recently uploaded (20)
Subjective examination lumbar spine
- 1. SUBJECTIVE EXAMINATION LUMBAR SPINE Dr. Alam Zeb AmiR DPT(KMU), MSPT(KMU) alamzebamir92@gmail.com
- 3. LUMBER SPINE Five Vertebrae (L1-L5) L1-L4 having the same structure L5 has some structural adaptations for articulation with sacrum L5 some time fused with sacrum the phenomenon is called as Sacralization
- 4. 4
- 5. LUMBO SACRAL ARTICULATIONS This articulation is formed by the L5 and first sacral segment. First sacral segment is inclined slightly anteriorly and inferiorly forming an angle with the horizontal axis called the lumbo-sacral angle Size of the angle varies with the position of the pelvis and influence the lumber curvature. An increase in this angle will result in increase in lordosis of the lumber curvature 5
- 7. LUMBO SACRAL ARTICULATIONS This articulation is formed by the L5 and first sacral segment. First sacral segment is inclined slightly anteriorly and inferiorly forming an angle with the horizontal axis called the lumbo- sacral angle Size of the angle varies with the position of the pelvis and influence the lumber curvature. An increase in this angle will result in increase in lordosis of the lumber curvature
- 8. MOVEMENTS 8
- 9. SUBJECTIVE EXAMINATION 9 Location Referred pain MOI Quality Depth Intensity Constant or Intermittent Aggravating Factors Easing Factors 24 -hour pattern
- 10. Subjective Examination Body Chart Type & area of symptom Depth Quality Intensity Abnormal Sensation Relationship of Symptoms Behavior of Symptoms Aggravating factors Easing Factors Severity & Irritability 24 hrs behavior Daily Activity Stage of Condition Special Questions General Health Drugs Steroids Anticoagulant s Weight loss – recurrent unexpected Rheumatoid Arthritis Spinal Cord Cauda equina symptoms Dizziness X-ray (recent) History of Present Illness How it started? Past Medical History Relevant Medical History Previous Attacks Effects of previous treatments Social & Family History Age Gender Home of work situation Dependents Leisure Activities
- 11. SPECIAL QUESTIONS FOR LUMBAR SPINE Cauda Equina (compression of the spinal cord that could lead to serious long term damage to the cord unless treated immediately) Any bladder or bowel dysfunction Bilateral neural symptoms in both legs Perineum numbness/pins and needles Unremitting pain
- 12. LOW BACK PAIN Low back pain which has been defined as the pain arising below the 12th thoracic vertebra and just above the margins of the inferior gluteal folds Low back pain life time prevalence is 65%-80% 12
- 13. 13
- 14. POSSIBLE CAUSES OF LBP 14
- 16. ????????????????????????? A patient states that he developed a sudden backache, which was followed a few days later by severe pain in the left calf. Two days later he noticed numbness of the outer two toes and difficulty standing on tiptoe. By that time the backache had ceased. 16
- 17. 17
- 18. 18
Editor's Notes
- Paget's disease of bone (also termed ambiguously, just Paget's disease) Paget's is caused by the excessive breakdown and formation of bone, followed by disorganized bone remodeling. This causes affected bone to weaken, resulting in pain, misshapen bones, fractures and arthritis in the joints near the affected bones. Rarely, it can develop into a primary bone cancer known as Paget's sarcoma. Often Paget's disease is localized to only a few bones in the body. The pelvis, femur, and lower lumbar vertebrae are the most commonly affected bones. Paget's disease typically is localized, affecting just one or a few bones, as opposed to osteoporosis, for example, which usually affects all the bones in the body. Spondylosis is a broad term that simply refers to some type of degeneration in the spine. Most often, the term spondylosis is used to describe osteoarthritis of the spine, but it is also commonly used to describe any manner of spinal degeneration.
- This is the story of an S1 root compression with neurological deficit, almost certainly caused by a large disc protrusion at the level of L5–S1