KINESIOL 4KK3 Lecture Notes - Lecture 5: Spinal Disc Herniation, Intervertebral Foramina, Greater Sciatic Foramen
Document Summary
Low back pain is difficult to identify source of pain can address as functional issue. First, must triage: pts will likely follow into category 1 most of the time. Category 1:non-specific mechanical (80%: back pain due to mechanical reason eg. overworked muscle, muscular, ligamentous issue, no neurological consequence. Category 2: radiculopathy spinal stenosis: higher on triage list, greater risk, more challenges b/c lumping people with back pain and have some level of associated neurological impairment, more challenge, more problems. Neurological involvement general two ways it can go: Radiculopathy: pathology of a spinal nerve eg. l1/2/3 (not femoral or sciatic, just a nerve root, can come from a variety of reasons: Between two vertebrae is a canal/vertebral foramen if you sublux or dislocate a vertebrae you can fall back and impinge the nerve through there. Trauma to nerve that"s through foramen, gets angry, neuro symptoms.