1.4 Understanding Specific Low Back Pain Conditions

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What must be present in specific low back pain conditions to indicate the source of pain generator?

Anatomic pathology

Which phenomenon best explains the pain response in clients with specific low back pain conditions characterized by structural impairments?

Peripheral sensitization

What is defined as the increased responsiveness and reduced threshold of nociceptive neurons in the periphery in the presence of injury or inflammation?

Peripheral sensitisation

Which type of pain is characterized by enhanced response of nerve fibers to a normal stimulus in specific low back pain conditions?

Nociceptive pain

Why is it difficult to fit the 'central sensitisation' phenomenon into the clinical patterns of specific low back pain conditions?

Due to the presence of anatomic pathology

What type of structures may cause nociception and peripheral sensitization in specific low back pain conditions?

Bone and joint, muscle-tendon, neural tissues structures of lumbar spine and pelvis injury

What is a common pathoanatomy-based diagnostic label for specific LBP?

Facet arthritis

Which type of pathophysiological mechanism is associated with discogenic pain in specific LBP conditions?

Physiological and age-related degeneration

What is a common impairment-based classification of specific LBP according to the ICF?

Spondylolysis & Spondylolisthesis

Which condition related to specific LBP involves a vertebral fracture?

Vertebral compression fracture

What is a pathophysiological mechanism associated with infective lesions in specific LBP conditions?

Infective lesions

In the context of specific LBP, what is related to sacroiliac joint dysfunction?

Sacroiliac joint dysfunction

What is a common characteristic of acute low back pain with mobility deficits?

Restricted lumbar range of motion and segmental mobility

Which type of low back pain involves symptoms that worsen with end-range spinal motions?

Subacute exacerbation of recurring low back pain

What symptom is commonly associated with low back pain with radicular pain?

Lower extremity paresthesia and weakness

Which type of low back pain is aggravated with sustained end-range lower-limb nerve tension tests?

Low back pain with radicular pain

What is a common finding associated with chronic, recurring low back pain?

Reduced lumbar lordosis

Which category involves symptoms reproduced or aggravated with initial to mid-range spinal movements?

Acute low back pain with mobility deficits

In which condition does lower extremity pain centralize and diminish with certain movements?

Low back pain with radicular pain

What is a common feature of subacute low back pain?

Lateral trunk shift during movement

Which type of low back pain could involve the presence of movement coordination impairments during community/work-related activities?

Low back pain with movement coordination deficits

What is a key characteristic of acute exacerbation of recurring low back pain?

Symptoms reproduced or aggravated with initial to mid-range spinal movements

What is nociceptive pain primarily characterized by?

Having a predictable stimulus-response profile

In the ICD-11 chronic pain classification system, what type of pain is considered Secondary chronic pain?

Pain that needs specific treatment for the underlying cause

What role do physiotherapists play in managing specific low back pain conditions?

Primary role in assessing and treating impairments associated with lumbar spine and pelvis conditions

What is chronic secondary visceral pain associated with?

Internal organs of head/neck, thoracic, abdominal, and pelvic regions

What should physiotherapists focus on when managing clients with specific low back pain?

Considering impairments hierarchically as a primary role

What is one of the key aspects of Secondary chronic pain according to the ICD-11 classification system?

'Secondary chronic pain' is linked to the primary underlying diseases

What is the risk associated with delayed healing in specific low back pain conditions?

Increased risk of developing chronic or persistent low back pain

Which type of pain can persist even after successful treatment of the primary disease?

'Secondary chronic pain'

In what way does Secondary chronic visceral pain differ from other types of Secondary chronic pain?

It relates to internal organs like abdominal and pelvic regions.

Learn about cognitive and behavioral risk factors, central sensitization, and anatomic pathologies associated with specific low back pain conditions. Understand the differences between nonspecific low back pain and conditions with clear evidence of anatomic pathology as the source of pain.

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