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Questions and Answers
Questions and Answers
What is the common conservative approach for managing radiculopathy?
What is the common conservative approach for managing radiculopathy?
- Regular use of opioids
- Immediate surgical intervention
- Complete bed rest for 6 weeks
- Physiotherapy with a multimodal approach (correct)
What treatment approach is not recommended for clients with acute low back and sciatica?
What treatment approach is not recommended for clients with acute low back and sciatica?
- Complete bed rest (correct)
- Physiotherapy with manual therapy
- Activity restrictions
- Pain medication with NSAIDs
Which therapy aims to improve joint mobility and reduce pain in radiculopathy?
Which therapy aims to improve joint mobility and reduce pain in radiculopathy?
- Pain neuroscience education
- Acupuncture
- McKenzie extension exercises (correct)
- Combination of electrophysical agents
What is a potential side effect of using pain medications for radiculopathy management?
What is a potential side effect of using pain medications for radiculopathy management?
When might surgical management be considered for radiculopathy cases?
When might surgical management be considered for radiculopathy cases?
Which post-operative intervention is highlighted as integral in rehabilitation following spinal surgery for radiculopathy?
Which post-operative intervention is highlighted as integral in rehabilitation following spinal surgery for radiculopathy?
What is the defining characteristic of radiculopathy?
What is the defining characteristic of radiculopathy?
What is the prevalence of lumbar and sacral radiculopathy in adult individuals with low back pain?
What is the prevalence of lumbar and sacral radiculopathy in adult individuals with low back pain?
Which diagnostic rule is considered evidence-based for radiculopathy?
Which diagnostic rule is considered evidence-based for radiculopathy?
What distinguishes radiculopathy from radicular pain?
What distinguishes radiculopathy from radicular pain?
What are typical symptoms associated with radicular pain?
What are typical symptoms associated with radicular pain?
How does radiculopathy differ from radicular pain in terms of symptoms?
How does radiculopathy differ from radicular pain in terms of symptoms?
Which of the following is not a common cause of lumbosacral radiculopathy?
Which of the following is not a common cause of lumbosacral radiculopathy?
Which nerve root is associated with weakness in hip flexion and adduction, and quadriceps weakness?
Which nerve root is associated with weakness in hip flexion and adduction, and quadriceps weakness?
Which radiculopathy is characterized by weakness in ankle dorsiflexion, toe extension, and hip abduction?
Which radiculopathy is characterized by weakness in ankle dorsiflexion, toe extension, and hip abduction?
What is a common clinical presentation of S1 radiculopathy?
What is a common clinical presentation of S1 radiculopathy?
What is considered a gold standard measure to confirm the presence of disc bulge and herniation?
What is considered a gold standard measure to confirm the presence of disc bulge and herniation?
In individuals with radicular pain, what signs would not be evident?
In individuals with radicular pain, what signs would not be evident?
Which age group is more commonly affected by lumbosacral radiculopathy according to Schoenfeld et al. (2012)?
Which age group is more commonly affected by lumbosacral radiculopathy according to Schoenfeld et al. (2012)?
Which type of radiculopathy usually presents with posterior thigh, leg, and foot pain?
Which type of radiculopathy usually presents with posterior thigh, leg, and foot pain?
What reflex is associated with L4 radiculopathy?
What reflex is associated with L4 radiculopathy?
What is the most common cause of radicular pain?
What is the most common cause of radicular pain?
Questions and Answers
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Study Notes
Study Notes
Conservative Management of Radiculopathy
- Common conservative approaches include physical therapy, pain management through medications, and activity modification.
- Use of spinal manipulation and chiropractic care is generally not recommended for clients with acute low back pain and sciatica.
Goals of Therapy
- Physical therapy aims to improve joint mobility and reduce pain associated with radiculopathy.
Pain Management Side Effects
- Potential side effects of pain medications can include dependency, gastrointestinal issues, and cognitive effects.
Surgical Considerations
- Surgical management may be considered for radiculopathy if conservative treatments fail or if there is significant neurological compromise.
Post-operative Rehabilitation
- Early mobilization and physical therapy are integral in rehabilitation following spinal surgery for radiculopathy.
Definition and Prevalence
- Radiculopathy is characterized by radiating pain or neurological deficits resulting from nerve root compression or irritation.
- Prevalence of lumbar and sacral radiculopathy among adults with low back pain is significant, affecting a substantial portion of this demographic.
Diagnostic Criteria
- The “straight leg raise test” is considered an evidence-based diagnostic rule for assessing radiculopathy.
Distinction Between Radiculopathy and Radicular Pain
- Radiculopathy involves both pain and neurological deficits, whereas radicular pain primarily consists of pain without significant weakness or sensory loss.
- Typical symptoms of radicular pain include sharp, shooting pain along the nerve's distribution, but without the neurological deficits indicative of radiculopathy.
Causes and Symptoms
- Radiculopathy can result from herniated discs, spinal stenosis, tumors, or trauma.
- Not all causes of lumbosacral radiculopathy are common; for example, infections are less prevalent.
- L2-L3 nerve root involvement leads to weakness in hip flexion/adduction and quadriceps weakness.
Specific Root Characteristics
- L5 radiculopathy is characterized by weakness in ankle dorsiflexion, toe extension, and hip abduction.
- Common clinical presentation of S1 radiculopathy includes pain down the posterior aspect of the leg and diminished ankle reflex.
Imaging and Diagnosis
- MRI is considered the gold standard for confirming disc bulge and herniation.
- In radicular pain, signs of upper motor neuron lesions would not be evident.
Demographics and Pain Patterns
- Lumbosacral radiculopathy most frequently affects individuals aged 30 to 50 years.
- L5 radiculopathy typically presents with posterior thigh, leg, and foot pain.
- L4 radiculopathy is associated with a diminished patellar reflex.
Common Causes of Pain
- The most common cause of radicular pain is intervertebral disc herniation.
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