PHTY301 Lecture Notes - Lecture 2: Ankylosing Spondylitis, Hypervigilance, Comorbidity
Document Summary
Week 2 lecture a: diagnosis and contributing factors to lbp disorders. Overall health costs in australia- billion in 2001= huge health burden individual costs lbp -= it is the leading chronic health problem forcing older people out of the work force. Those who retire early because of low back pain have substantially less total wealth and income producing assets about 87% less than those who remain in full-time employment. Pathology of spinal pain (cid:858) pe(cid:272)ifi(cid:272) spi(cid:374)al pai(cid:374)(cid:859) (make up 20% of back pain) A (cid:858)spe(cid:272)ifi(cid:272)(cid:859) diag(cid:374)osis (cid:272)a(cid:374) (cid:271)e esta(cid:271)lished (cid:271)ased o(cid:374) (cid:272)li(cid:374)i(cid:272)al (cid:894)& radiologi(cid:272)al examination) Source (specific anatomical structure) & mechanism of symptoms can be established. Non-spe(cid:272)ifi(cid:272) (cid:894)(cid:858)me(cid:272)ha(cid:374)i(cid:272)al symptoms change with different movements and pain is reproduced on palpation(cid:859)(cid:895) spi(cid:374)al pai(cid:374) (80%) Specific source of symptoms cannot be established. Degenerative changes on lumbar imaging are usually considered non-specific, as they correlate poorly with symptoms e. g. of non-specific mechanical lbp. Ankylosing spondylitis (& other inflammatory disorders) disc protrusion with radiculopathy.
