Low Back Pain Management Quiz

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Questions and Answers

What is a common cause of low back pain?

  • Muscle/ligament strain
  • Disk degeneration
  • Osteoarthritis
  • All of the above (correct)

Pain from low back pain can radiate down the leg.

True (A)

What are OTC analgesics used for in managing low back pain?

Pain relief

For chronic back pain, _____ can be prescribed to help manage symptoms.

<p>antidepressants</p> Signup and view all the answers

Which of the following is a symptom of osteoarthritis?

<p>Joint stiffness (B)</p> Signup and view all the answers

What is the goal of medical management in osteoarthritis?

<p>Decrease pain and stiffness, increase mobility</p> Signup and view all the answers

Which should be avoided to help manage low back pain?

<p>All of the above (D)</p> Signup and view all the answers

What kind of devices might assist in reducing joint pain?

<p>Assistive devices</p> Signup and view all the answers

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Study Notes

Low Back Pain

  • Frequently caused by muscle or ligament strain and degeneration or herniation of intervertebral disks.
  • Symptoms include localized pain that may radiate down the leg, accompanied by possible paresthesia.
  • Severe symptoms can involve leg weakness and issues with bowel and bladder control.
  • Initial treatment often involves over-the-counter (OTC) analgesics, with opioids prescribed for short-term relief in severe cases.
  • Muscle relaxants (e.g., cyclobenzaprine) may be used to relieve muscle spasms.
  • Chronic pain management can include tricyclic antidepressants, SSRIs, and anticonvulsants.
  • Non-pharmacological interventions include ice/heat applications, massage, chiropractic care, and yoga.
  • Potential corticosteroid injections serve to decrease inflammation and pain.
  • Nursing interventions focus on prevention strategies such as educating patients on proper lifting techniques, encouraging regular stretching, and advising against prolonged standing and awkward positions.

Osteoarthritis

  • Characterized by wear and tear on joint structures, leading to degradation and breakdown of cartilage.
  • Joint pain is most commonly unilateral or bilateral, with stiffness worsening during inactivity.
  • Pain often increases with physical activity due to the lack of sufficient cushioning and lubrication in the joints.
  • Treatment goals focus on reducing pain and stiffness while maintaining or improving joint mobility.
  • OTC analgesics, particularly NSAIDs, are commonly recommended, with caution due to the risk of gastrointestinal bleeding.
  • Patient education emphasizes the importance of regular exercise, such as daily walking, to maintain joint function.
  • Assistive devices may be suggested to decrease strain on the joints during daily activities.

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