Thigh and Lumbar Spine

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19 Terms

1
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What are some pathologies that can affect the thigh and lumbar spine?

Inguinal Hernia
DDD
Spina Bifida
Lsp OA
Meralgia paresthetica
Muscle strain

2
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What are common causes (eitological) of DDD?

Ageing and genetic factors

3
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What causes radiation of pain in Degenerative Disc Disease?

Compression of nerve roots due to herniated material.

4
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What are common clinical symptoms of DDD?

Localised spinal px
Radiating px
Reduced mobility
Aggravated by spinal loading
Possible neurological symptoms

5
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What are conservative treatment options for DDD?

Manual and exercise therapy, NSAIDs, weight management, and activity modification.

6
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When is surgery considered for DDD?

As a last resort - may not alleviate px

7
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DD for DDD

Spinal arthritis

8
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How common is Lsp OA

Very common with a prevalnce of 40-80%

9
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What structures are affected by degenerative changes in lumbar OA?

Facet joints, IVDs, and spinal ligs

10
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What are three causes of pain in lumbar OA?

Facet joint degeneration - cartilage degeneration, osteophyte formation, joint space narrowing.
Disc degeneration
Nerve root compression

11
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What is Meralgia Paresthetica?

Neurological condition involving px and dysethesia in the anterolateral thigh due to compression of lateral femoral cutaneous nerve of the thigh.

12
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What commonly aggravates Meralgia Paresthetica?

Standing, walking, prolonged hip extension, tight belt

13
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What internal factors may contribute to Meralgia Paresthetica?

Pregancy, obesity, tumors pressing on the nerve

14
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Which hamstring muscle is most commonly strained?

Biceps femoris

15
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When are the hamstrings most vulnerable to strain?

The transition from decelerating knee extension to initiating hip extension

16
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Which quadriceps muscle is most commonly strained?

Rectus femoris

17
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What is the typical mechanism of quadriceps strain?

Sudden, forceful eccentric contraction.

18
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Which adductor muscle is most commonly strained?

Adductor longus

19
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What mechanism leads to adductor longus strain?

Rapid eccentric contraction