Buzzer Words for Lumbar and Thoracic DDx PDF

Buzzer Words Lumbar and SIJ DDx +-----------------------------------+-----------------------------------+ | Facet Dysfunction | Common in 30/40s | | | | |...

Buzzer Words Lumbar and SIJ DDx +-----------------------------------+-----------------------------------+ | Facet Dysfunction | Common in 30/40s | | | | | | "Tightness around the back" | | | | | | Hypomobility- Unilateral LBP | | | | | | Prolonged positioning | | | | | | Hypermobile L-segment | | | | | | Opening or closing restriction | +===================================+===================================+ | Lumbar Stenosis | Most common 60+ | | | | | | Bilateral component | | | | | | Repetitive stress in extension | | | | | | Shopping cart syndrome | | | | | | Sitting preferred over standing | | | | | | Pain during walking/standing | +-----------------------------------+-----------------------------------+ | Spondylosis | Degenerative | | | | | | Rest relieves the pain | | | | | | L5-S1 most common | +-----------------------------------+-----------------------------------+ | Spondylolysis | Fracture to pars interarticularis | | | | | | Repetitive extension | | | | | | Hyperextension + rotation | | | | | | Sitting preferred over standing | +-----------------------------------+-----------------------------------+ | Spndylolisthesis | Anterior slippage of vertebrae | | | | | | L5-S1, L4-L5 most common | | | | | | Neurogenic claudication may be | | | present | +-----------------------------------+-----------------------------------+ | Lumbar Disc Pathology | L4-L5, L5-S1 most common | | | | | | Posterolateral direction most | | | common | | | | | | Unilateral complaint | | | | | | Repetitive stress into flexion | | | | | | Heavy compressive loads | | | | | | Protrusion, prolapse, extrusion, | | | sequestration | +-----------------------------------+-----------------------------------+ | Lumbar Radiculopathy | L4-L5-S1 most affected | | | | | | L4: Quadriceps/anterolateral | | | thigh | | | | | | L5: EHL/Lateral thigh | | | | | | S1: plantarflexors/posterior leg | +-----------------------------------+-----------------------------------+ | SIJ Dysfunction | Pregnancy | | | | | | Fortin's sign | | | | | | Thigh thrust, distraction, | | | compression, sacral thrust | +-----------------------------------+-----------------------------------+ Thoracic DDx +-----------------------------------+-----------------------------------+ | Thoracic Disc Pain | Most commonly degenerative | | | changes | | | | | | T1&T2: hand, arm, medial forearm | | | | | | T2&T3: clavicle, scapular spine, | | | medial upper arm | | | | | | T3-T8: side/front of trunk, | | | unilateral & extra segmental | | | | | | T9-11: unilateral buttock, | | | bilateral at conus medularis | +===================================+===================================+ | Thoracic Zygapophyseal Pain | Hypomobility | | | | | | Pain with mobility | | | | | | Reduced thoracic extension | +-----------------------------------+-----------------------------------+ | Rib Dysfunction | Pain with deep | | | breathing/coughing/sneezing | | | | | | Pain with rotation | | | | | | Subluxation= trauma | | | | | | Torsional= rib stuck in ER/IR | | | | | | Respiratory= poor posture | +-----------------------------------+-----------------------------------+ | First Rib Dysfunction | Ant/Inf/Med glide with inhalation | | | | | | Post/Sup/Lat glide with | | | exhalation | | | | | | Subluxation= sudden and hard end | | | feel, Periscapular= hard in one | | | direction, Myofascial= normal | | | | | | Anterior restriction= hypomobile | | | superior, ipsilateral, exhalation | | | | | | Posterior restriction= hypomobile | | | inferior, contralateral, | | | inhalation | +-----------------------------------+-----------------------------------+ | Tietze | Local inflammation of | | | costosternal cartilage | | | | | | Aggravated by deep breathing | | | | | | Can radiate to UE | +-----------------------------------+-----------------------------------+ | Muscle Strain | Recent trauma or repetitive use | | | | | | Local pain/tenderness | +-----------------------------------+-----------------------------------+ | Contusions | Recent trauma | | | | | | Post MVA (seatbelt) | +-----------------------------------+-----------------------------------+ | Fractures | Rib: trauma | | | | | | Scapular: rare, involve neural | | | damage | | | | | | Vertebral: Wedge/compression= | | | hyperflexion, Burst= axial load, | | | T9-T11, osteoporosis, Scheuermann | | | disease | | | | | | Sternal= rare, MOI often seatbelt | +-----------------------------------+-----------------------------------+ | Scheuermann Disease | Adolescence | | | | | | Defect to apophysis= anterior | | | wedging | | | | | | Kyphosis | | | | | | Pain with thoracic ext & rot | +-----------------------------------+-----------------------------------+ | T4 Syndrome | Sympathetic response to | | | hypomobility | | | | | | B stocking glove paresthesia, | | | neck pain, headaches, worse in | | | S/L | | | | | | +Slump,+ ULTT | | | | | | Can occur from T2-T7 | +-----------------------------------+-----------------------------------+ | Scoliosis | Common: Thoracic R curve, Lumbar | | | L curve | | | | | | Mild: 10-24° | | | | | | Mod: 25-39° | | | | | | Severe: \>40° | +-----------------------------------+-----------------------------------+ | Ankylosing Spondylitis | Inflammatory disease resulting in | | | vertebral fusion | | | | | | Late adolescence | | | | | | Stiffness in AM | | | | | | Improvement with exercise NOT | | | rest | +-----------------------------------+-----------------------------------+