Discogenic Back Pain and Degenerative Disc Disease (DDD)

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Which of the following is NOT a symptom of cauda equina syndrome?

Fever and chills

What is the common imaging finding in patients with Degenerative Disc Disease (DDD)?

Disc space narrowing

Which condition is characterized by the forward displacement of one vertebra over another?

Spondylolisthesis

What is the primary cause of Discogenic Back Pain?

Loss of proteoglycans and fluid in the disc

Which condition involves the inflammation and degeneration of the facet joints in the spine?

Facet arthropathy

What is a common feature of mechanical back pain due to Ligament Sprains?

Decreased range of motion (ROM)

Which condition involves the slipping forward of one vertebra over another without a fracture?

Spondylolisthesis

Which imaging modality is best for visualizing disc protrusion or herniation?

MRI scan

Which of the following conditions is characterized by a vertebra sitting forward on the one below it?

Spondylolisthesis

In which case is a CT or MRI scan more useful compared to X-rays for imaging purposes?

Discogenic back pain

Which condition is often related to aging and presents with unilateral neck or low back pain?

Spondylolisthesis

Pain exacerbated by lumbar extension or lateral flexion to the affected side is characteristic of which condition?

Facet arthropathy

Which condition can cause neurologic findings such as weakness, sensory dermatomic pain, and reflex loss?

DDD

Which type of joint is affected in facet arthropathy?

"Zygaphyseal joints"

What is one of the key differentiating factors between Spinal Claudication and Vascular Claudication?

Spinal Claudication gets better when sitting, while Vascular Claudication worsens with sitting.

What symptom is commonly associated with SI Ligament Sprain?

Buttock pain

Which condition is characterized by the narrowing of facet joints leading to neural foraminal stenosis?

Facet Arthropathy

What is a common risk factor for Peripheral Vascular Disease or known atherosclerosis as mentioned in the text?

Weak pedal pulses

When does Mechanical Back Pain typically warrant imaging investigations according to the text?

Within 3-6 months if symptoms are not settling or significantly impacting functioning

What is a characteristic feature of Scoliosis mentioned in the text?

Progressive sideways curvature of the spine

Which condition often presents with nerve root pain that can be reproduced by leaning to one side?

Facet Arthropathy

What is the common developmental variation of the neural arches that can lead to spondylolisthesis?

Spondylolysis

Which imaging modality is best suited for assessing spinal cord signal in the context of spinal stenosis?

MRI

What condition is characterized by narrowing of the spinal canal?

Spinal stenosis

Which process can contribute to spinal stenosis by causing ligamentum flavum hypertrophy or facet hypertrophy?

Degenerative disease

What kind of pain is typically experienced by individuals with spinal or neurogenic claudication when walking?

Pain in legs worsening with walking

Which condition is often associated with worse back pain during forward flexion because of the forward slip moving more forward?

Spondylolisthesis

What can lead to non-union or lysis often mistaken for a 'fracture' seen on lateral X-ray views?

Spondylolysis

"Imagine that the forward slip moves more forward with bending forward" refers to which condition associated with worse back pain during such movement?

Spondylolisthesis

In the context of back pain, which imaging modality is best suited for visualizing disc protrusion or herniation?

MRI scan

Which imaging technique can demonstrate increased uptake suggesting active bone turnover in patients with facet arthropathy?

Bone scan

What is the common etiology of spondylolisthesis as mentioned in the text?

Aging

Which condition is characterized by the forward displacement of one vertebra over another?

Spondylolisthesis

When investigating facet arthropathy, which imaging modality can be more useful than plain X-rays?

CT scan

In cases where disc protrusion or herniation needs to be visualized, which imaging technique is NOT recommended?

X-ray

What is a characteristic feature of discogenic back pain that helps differentiate it from other back conditions?

"Pinched or compressed nerve"

Which imaging modality is commonly used to detect degenerative changes in facet joints associated with facet arthropathy?

X-ray

What is the primary reason for diagnosing Cauda Equina Syndrome with a CT or MRI scan?

To confirm bladder and bowel dysfunction

In the context of back pain, what is a common finding associated with Facet Arthropathy?

Decreased range of motion (ROM)

Which imaging modality is best suited for visualizing spondylolisthesis in patients with back pain?

X-ray

What is a distinguishing feature of Discogenic Back Pain in the context of Degenerative Disc Disease (DDD)?

Microfracture of collagen and loss of proteoglycans

When should a CT scan be preferred over X-rays for imaging mechanical back pain?

To confirm narrowing of facet joints

What is a common symptom associated with Spondylolisthesis?

Lower leg weakness

Which condition is NOT commonly associated with Facet Arthropathy?

Degenerative Disc Disease (DDD)

What is a significant feature of MRI scans compared to CT scans for assessing back pain issues?

Enhanced soft tissue contrast

What is the primary imaging modality for assessing spinal cord signal in the context of spinal stenosis?

MRI

Which imaging technique is best suited for visualizing non-union, lysis, or 'fracture' often seen on lateral X-ray views?

X-rays

Which condition involves the forward displacement of one vertebra over another without a fracture?

Spondylolisthesis

Which type of joint is primarily affected in facet arthropathy?

Facet joint

In the context of back pain, what is a common feature of discogenic back pain?

Central disc herniation

Which imaging modality is most appropriate for evaluating the severity of spondylolytic spondylolisthesis?

X-rays

What is a common feature of mechanical back pain due to Ligament Sprains?

Facet hypertrophy

In the context of back pain diagnosis, which imaging modality is best suited for visualizing soft tissue structures like the spinal cord signal?

MRI scan

Which condition is characterized by the forward displacement of one vertebra over another, often seen on imaging studies like X-rays or CT scans?

Spondylolisthesis

Which type of spine condition is commonly associated with Discogenic Back Pain due to degeneration or damage to the intervertebral discs?

Spondylolisthesis

When investigating back pain, which imaging modality is more useful compared to X-rays for visualizing detailed bony structures and soft tissues like the spinal cord signal?

MRI scan

Facet arthropathy involves which type of joint in the spine?

Facet joints

Which spine condition can lead to non-union and lytic changes often mistaken for a fracture on lateral X-ray views?

Spondylolisthesis

In the context of back pain, what is a common developmental variation of the neural arches that can contribute to spondylolisthesis?

Pars Interarticularis Defect

Individuals with which spine condition often experience pain exacerbated by lumbar extension or lateral flexion to the affected side?

Facet Arthropathy

Learn about the insidious onset of chronic pain related to disc herniation. Understand how discogenic back pain and DDD can be detected on X-ray, CT scan, and MRI scan. Explore the differences between acute pain from disc herniation and chronic pain from DDD.

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