A | B |
laminectomy | decompresses spinal cord/nerve root pressure |
microdiscectomy | removes extruded disc material |
artificial disc | keeps annulus fibrosis but replaces nucleus pulposis |
relieves pain by limiting movement | spinal fusion |
major stabilizer of the trunk | transverse abdominis |
trauma or sprain due to cough/sneeze can cause this | rib dysfunction |
stretch scalenes | sidebend opposite and rotate to the same side while stabilizing the rib cage |
flat low back | decreased lumbrosacral angle, post pelvic tilt, weak hip extensors |
facet irritation | pain in gluts, prox thigh or groin |
traction | treat facet irritation |
William's flexion exercises | knees to chest |
posterior pelvic tilt | opens up intervertebral space |
flexion causes this | posterior migration of disc material |
most common cause of LBP | muscle strain |
true nerve root involvement | loss of bowel/bladder control, diminished DTR, myotome/dermatome impairment |
sitting makes symptoms worse | disc herniation |
standing/walking makes symptoms worse | spinal stenosis |
mckenzie approach | prone press up |
prone lying | causes disc to migrate anteriorly |
larger changes in velocity cause this | increased cervical spine damage |
whiplash | damage to soft tissue, avulsion fx, strain of ligaments/jt capsule, stretch of nerves |
functional impairment after cervical strain | scapular dyskinesis |
teach diaphragmatic breathing | to improve neck pain after cervical sprain |
active cervical rotation in painfree ROM | decreases pain after whiplash and improves pt outlook |
walking after cervical strain causes this | movement of clavicle, scapula and rib where attachment of neck ms occur |
head nodding exercise | re-educates the longus colli |
axial extension with finger on lips | postural re-education of head position |
mckenzie cervical exercise | neck extension in sitting |
neck retraction | migrates the cervical disc anteriorly |
torticollis | spasm of SCM |
cervical spine instability | thoracic spine hypomobility accompanies this problem |
chin tuck with shoulder flexion | cervical spine stabilization exercise |
bridge | trunk stabilization and gluteal strengthening |
dying bug | trunk flexor strengthening |
clam shell | hip abductor strengthening |
standing stork stretch | stretch quads |
long sitting SLR | iliopsoas and quad strengthening |
anterior pelvic tilt | caused by hip flexors and lumbar extensors |
sacroiliac dysfunction | pain in groin, low back or buttock without radiculopathy |
L anterior innominate rotation | perform hip extension on left with right hip flexion counter rotation |