Zusammenfassung der Ressource
Taxi driver
- anatomy of the spine
- joints
- intervertebral disc, zygapophyseal joint, atlanto-occipital joint, atlanto-axial joint, lumbosacral joint, sacrococcygeal joint
- ligaments
- bones
- movements
- flexion
- extension
- lateral flexion
- rotation
- muscles
- veins passing through
- sciatica
- caused by impingement on nerve root
- by degeneration of annulus fibrosis and nucleu pulposis
- start with
- HX.
- age, job
- daily act
- place, time
- symptoms
- blader incon
- VAS
- visual analogue scale test that is used to scale the pain of a patient and is usually done by patient. it is usually scaled from 0-100 mm
- natural HX
- improves with time, average 2 weeks
- 1 pain
- slow improv
- management
- alternative
- massage
- yoga
- chairopractor
- acupuncture
- active/ rest
- NSAIDS
- physiotherapy
- placebo effect
- unexplained improvements that depends on: belief of patient, situation, pat-doc relationship
- second line
- traction steroid
- surgery
- sciatic nerve decompression
- discectomy
- laminectomy, laminotomy
- absolute: increase neurological deficit, blader icon
- relative: failing treatment, disabling pain
- physical examination
- investigation of back pain
- history
- onset of pain
- location of pain
- medical history
- types and severity of pain
- aggravating and releiving factors
- radiographic evaluation
- bone scintigraphy
- ct scan
- MRI scan
- physical examination
- overreaction
- tenderness
- pain stimulating test
- nonorganic regional disturbances
- look, feel, move
- special tests
- straight leg raising
- the upper and lower neurovascular test
- schobers test
- abdominal exam
- labratory tests
- 5 dimensions of adherence
- lower limb dermatomes