This site uses cookies to deliver our services and to show you relevant ads and presentations. By clicking on "Accept", you acknowledge that you have read and understand our Cookie Policy , Privacy Policy , and our Terms of Use.

Download Low Back Pain PowerPoint Presentation

Login   OR  Register

Iframe embed code :

Presentation url :


Description :

Available Low Back Pain powerpoint presentation for free download which is uploaded by honey an active user in belonging ppt presentation Health & Wellness category.

Tags :

Low Back Pain

Home / Health & Wellness / Health & Wellness Presentations / Low Back Pain PowerPoint Presentation

Low Back Pain PowerPoint Presentation

Ppt Presentation Embed Code   Zoom Ppt Presentation

About This Presentation

Description : Available Low Back Pain powerpoint presentation for free download which is uploaded by honey an acti... Read More

Tags : Low Back Pain

Published on : Mar 14, 2014
Views : 522 | Downloads : 0

Download Now

Share on Social Media


PowerPoint is the world's most popular presentation software which can let you create professional Low Back Pain powerpoint presentation easily and in no time. This helps you give your presentation on Low Back Pain in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.

The uploader spent his/her valuable time to create this Low Back Pain powerpoint presentation slides, to share his/her useful content with the world. This ppt presentation uploaded by slidesfinder in Health & Wellness ppt presentation category is available for free download,and can be used according to your industries like finance, marketing, education, health and many more. provides a platform to marketers, presenters and educationists along with being the preferred search engine for professional PowerPoint presentations on the Internet to upload their Low Back Pain ppt presentation slides to help them BUILD THEIR CROWD!!

User Presentation
Related Presentation
Free PowerPoint Templates
Slide 1 - Sciatica/HNP Thomas M. Howard, MD Sports Medicine
Slide 2 - HNP-Epidemiology 30-40 yo >95% @ L4-5 and L5-S1 75% resolve in 6 months 5-10% require surgery
Slide 3 - Joints zygoapophyseal (facets) synovial joint (cartilage, capsule, synovium) limit extension/flexion Disc nucleus pulposus two end plates annulus fibrosis laminated collagen fibers 65o orientation
Slide 4 - L4 Motor- quad and tibialis anterior Sensory- medial foot DTR- patellar
Slide 5 - L5 Motor- extensor hallicus longus (EHL) Sensory- dorsal foot DTR- none
Slide 6 - S1 Motor- foot plantar flexion and eversion Sensory- lateral foot DTR- achilles
Slide 7 - HNP-Pain Torn annular fibers of disc Chemical and mechanical irritation of: spinal root soft tissues (posterior longitudinal ligament)
Slide 8 - Annular Tear Lumbar strain Locked in flexion without neuro sx
Slide 9 - Sciatic Neuropathy HNP Trauma blunt- fall or contusion penetrating- injection, fracture, stab traction- hip surgery Peripheral Compression wallet sciatica piriformis syndrome (myofacsial)
Slide 10 - History
Slide 11 - Onset Usually spontaneous and without discrete event Discrete events lift cough/sneeze prolonged drive flexion/flexion with twist
Slide 12 - Pain with… Prone position Facet, Lat HNP, systemic Sitting Paramedian HNP, annular tear Standing Lateral HNP, central stenosis, facet syndrome Walking Central stenosis
Slide 13 - Other Symptoms Cough/valsalva exacerbation Distal neuro sx - weakness/paresthesia Bowel/bladder sx
Slide 14 - Red Flags
Slide 15 - Differential Diagnosis
Slide 16 - Examination Walk Standing Sitting Supine
Slide 17 - Walking Gait length of stride arm swing trunk motion ?pelvic tilt
Slide 18 - Standing - Range of Motion FF ~90o (reversal of lumbar lordosis with FF) Ext ~15-20o Side bend ~ 45o Trunk rotation
Slide 19 - Standing - Other Tests Single leg extension Gastroc strength Squat Standing single-leg balance (nl 15-30 sec)
Slide 20 - Supine SLR (Lasegue Test) Passive hip flexion Modified Thomas Test (Quad & Hip flexor flexibility) FABER (Patrick Test) SI Compression Test
Slide 21 - Supine Rectal tone Anal wink Cremasteric reflex
Slide 22 - Supine - Palpation Spinous processes Dorsal lumbar fascia/soft tissues Sacral notch tenderness
Slide 23 - Radiographs Early if ominous signs - fever, night pain, age >60, h/o Ca, wt loss, trauma Symptoms > 1 month
Slide 24 - MRI/CT Not needed to diagnose HNP 30% asx patients will have an abn MRI Order if hx/exam confusing Roadmap for surgeon MRI more costly, increased time to scan, problem with claustrophobic patients
Slide 25 - EMG/NCV R/O peripheral neuropathy Localize nerve injury Correlate with radiographic changes Order after 4 weeks of symptoms
Slide 26 - Lab Studies Generally not necessary
Slide 27 - Acute Management Relative rest no more than 48 hrs bedrest Educate patient body mechanics natural history of the condition Modalities Ice Heat Ultrasound Electric Stimulation
Slide 28 - Acute Management Medications Pain control Tylenol/NSAID’s minimize narcotic use Muscle relaxers use Valium for short term (1-2 days) Corticosteroids 2mg/Kg burst for 5-7 days
Slide 29 - Acute Management Exercises Extension biased discogenic flexion biased posterior element pain
Slide 30 - Physical therapy Bracing Traction Education Modalities Tissue flexibility and segmental motion Strengthening and postural control Home program instruction
Slide 31 - Traction May decrease disc pressure 20-30% May allow separation of vertebrae to decrease nerve root compression
Slide 32 - Subacute Management Continue patient education Activity & Conditioning walking Stretching - HS, hip extensors, erector spinae Strengthening - abs, erector spinae Mechanics - lifting technique, sport, ... Avoid prolonged sitting/standing recurrent bending twisting
Slide 33 - Epidural Steroid Injection (ESI) Local anti-inflammatory Performed by experienced anesthesiologist May buy time for the pt with marginal surgical indications
Slide 34 - Referral HNP (> 8 weeks) Ominous signs/sx - fever, weakness, bowel/bladder dysfunction Progressive neuro deficit or flaccid paralysis
Slide 35 - Caveats of Management Adequate/complete initial evaluation Follow-up evaluations 1-3 days for acute pain 4-6 weeks for chronic pain Activity as tolerated Survey for Red Flags