31 Questions
Which type of vertebral endplate lesion is often found with bone marrow edema in imaging studies?
Fracture in the center of the endplate
What type of pain can result from increased interosseous pressure due to vertebral endplate lesions?
Discogenic pain
Which of the following systemic bone diseases may be associated with disc and end plate lesions?
All of the above
What is a common non-pharmacological management approach for discogenic pain?
A structured exercise program
Which therapy involves using electrophysical agents like hot packs, TENS, and ultrasound for managing discogenic pain?
Combination of electrophysical agents
Which of the following is a surgical management option for discogenic pain?
Intradiscal radiofrequency electrothermal therapies
What are the common types of tears that the annulus fibrosus is prone to develop?
Transverse, circumferential, and radial tears
Which area of the disc is more prone to tears in a posterior or posterolateral direction?
Outer layers
Why is the healing response of the inner portion of the intervertebral disc limited?
Because it relies on diffusion for nutritional supply
Which type of disc bulge/herniation is clinically more significant due to neural tissue compression?
Posterior disc bulge/herniation
What is the term for horizontal splits and clefts common at the junction of the nucleus pulposus and annulus fibrosus?
Transitional zone tears
Why are repetitive stress, overuse, wear and tear, and age-related degeneration more common in intervertebral disc structures?
As a result of limited healing responses to strains or sprains
What are the potential symptoms associated with lumbar spine disc bulge and herniation?
Localized axial back pain, referred pain to the lumbopelvic region, and radicular pain along the nerve course
What is a common symptom associated with discogenic pain?
Pins and needles, paresthesia, and numbness
Why is it important to consider endplate lesions as a source of back pain?
Their relationship with disc lesions and pain symptoms is well established
Which type of lesion involves protrusion of disc tissues into the vertebral marrow through the endplate?
Schmorl’s node
What is one common type of Modic lesion associated with the vertebral end plate?
Peripheral rim calcification/sclerosis
Which age group is commonly affected by vertebral endplate lesions?
Middle-aged men
'Neural claudication' is caused by compression of which structure?
Nerve root
'Modic lesion' is associated with direct lesions of which anatomical structures?
'Vertebral end plate' and 'adjacent trabecular bone'
'Schmorl’s node' can be categorized based on which characteristic?
'Shape'
'Spontaneous and/or sudden onset of severe back pain' along with 'bladder and bowel incontinence' may indicate:
'Major neurological complications'
What is the main difference between disc bulge and disc herniation?
Disc bulge involves diffuse annular expansion, while disc herniation involves a localized displacement of disc materials.
Why is annulus fibres tear considered a source of back pain?
It leads to mechanical deformation of the disc tissue.
How does edema from inflammation affect disc pressure?
It increases disc pressure.
What is the impact of depressurization of the nucleus and posterior annulus?
It reduces pain.
How do both disc bulge and herniation affect segmental stiffness and instability?
They reduce segmental stiffness and increase instability.
What is the main implication of moderate-level degenerative changes in the nucleus and annulus?
Reduced spinal stability and increased neutral zone of intervertebral joint play.
How do disc bulge and herniation impact the posture and balance of spinal segments?
They alter the posture and balance of spinal segments.
What are the common risks associated with disc bulges in young people?
Increased fibrous material in the discs, resulting in less flexibility
What is the implication of severe-stage disc degeneration on intervertebral joints?
Reduced mobility or stiffness
Explore the characteristics and common types of tears in lumbar discogenic pain, including horizontal splits and clefts at the nucleus pulposus and annulus fibrosus junction. Learn about the three types of annulus fibrosus ruptures, such as transverse and circumferential tears.
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