Back Pain Epidemiology and Types by Dr. Dean Everett Wright 2019

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Questions and Answers

What are the Waddell signs associated with?

  • Anatomic tenderness
  • Psychogenic pain (correct)
  • Dermatomal symptoms
  • Organic back pain

Which imaging modality is recommended if pain persists despite non-operative management?

  • Ultrasound
  • MRI (correct)
  • CT scan
  • X-ray

What is a common differential diagnosis for pain in the thorax/upper back?

  • Cancer (correct)
  • Infection
  • Osteoporosis
  • Ankylosing spondylitis

Which of the following conditions is associated with rib osteoporotic compression fracture?

<p>Cervical spondylosis (B)</p> Signup and view all the answers

At what age range does disc degeneration significantly increase?

<p>20 to 70 years (D)</p> Signup and view all the answers

What is the most common cause of back pain according to the text?

<p>Lumbar disc herniation (A)</p> Signup and view all the answers

Which of the following is considered a red flag symptom related to back pain?

<p>Groin numbness and limb weakness (C)</p> Signup and view all the answers

What is a significant risk factor for back pain, as per the text?

<p>Lifting heavy objects (A)</p> Signup and view all the answers

Which type of pain is characterized by symptoms like neurogenic claudication and myelopathy?

<p>Neurogenic pain (C)</p> Signup and view all the answers

What type of syndrome is related to symptoms involving cauda equina?

<p>Conus medullaris syndrome (A)</p> Signup and view all the answers

Which set of symptoms should raise concerns about a spinal cord injury according to the text?

<p>Bowel and bladder issues (D)</p> Signup and view all the answers

What is a myofascial trigger point?

<p>A tight twitching knot in the muscle causing pain (D)</p> Signup and view all the answers

Which of the following is NOT a symptom associated with myofascial pain?

<p>Emotional triggers (C)</p> Signup and view all the answers

What is the primary cause of referred pain in myofascial trigger points?

<p>Spine injury (D)</p> Signup and view all the answers

How long does chronic low back pain (LBP) typically last?

<p>More than 3 months (A)</p> Signup and view all the answers

What is the most common treatment approach for myofascial pain?

<p>Massage and myofascial release (A)</p> Signup and view all the answers

Which condition involves the shrinking and drying out of spinal discs as they age?

<p>Osteoarthritis (C)</p> Signup and view all the answers

What is a common result of small tears in the disc wall?

<p>Formation of bone spurs (B)</p> Signup and view all the answers

Which of the following is NOT listed as a prevention method for sciatica?

<p>Regular exercise without stretching (A)</p> Signup and view all the answers

What is a recommended treatment option for sciatica?

<p>Rest, ice or heat, massage, pain relievers, and gentle stretches (A)</p> Signup and view all the answers

What percentage of individuals are symptom-free within 1 to 2 weeks after experiencing sciatica?

<p>90% (C)</p> Signup and view all the answers

In what cases may modified (light or restricted) duty be prescribed for individuals with sciatica?

<p>When regular job duties cannot be performed initially (A)</p> Signup and view all the answers

What are some recommended methods to prevent sciatica?

<p>Exercising regularly and maintaining good posture (A)</p> Signup and view all the answers

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