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Low back pain...2
Low back pain affects 60-80% of adults at some point and is usually caused by minor trauma or injury to back muscles or spinal disks. Common causes include degenerative disk disease and arthritis of the spine. Symptoms include lower back pain that may radiate to the buttocks or legs, along with difficulty standing, sitting, or walking. Treatment options include medications, physical therapy, chiropractic care, acupuncture, massage, yoga, and exercise to relieve pain and improve back muscle strength and flexibility.
LBP - Diagnostic Radiology UPR
The document discusses the Appropriateness Criteria for evaluating back pain, noting that acute low back pain is a leading cause of disability. While most cases are self-limiting, imaging may be warranted to identify red flags like trauma, weight loss, or neurological deficits. Common imaging modalities for back pain are listed along with their strengths and limitations. Plain films are inexpensive but MRI provides the best soft tissue contrast. Imaging correlates best with outcomes when combined with clinical examination, and is usually not needed for uncomplicated back pain without red flags.
Appropriate imaging for low back pain
1) The document discusses appropriate imaging for back pain, describing different imaging modalities like X-rays, CT scans, bone scans, and MRI.
2) It categorizes back pain into 3 groups: nonspecific low back pain, back pain associated with radiculopathy, and back pain associated with a specific cause needing prompt evaluation.
3) Guidelines recommend triaging patients into these 3 categories and only imaging those with red flags, severe/progressive neurological symptoms, or if considering surgery/injections. Imaging is not recommended for nonspecific back pain.
Back Pain
Dr. Shiraz Munshi discusses his approach to treating chronic back pain, which involves precision diagnosis through a combination of history, physical exam, imaging, and diagnostic injections to identify the specific source of pain in 70% of cases. This allows for targeted, minimally invasive treatments like nerve blocks, radiofrequency ablation, and spinal cord stimulation to effectively manage pain and improve outcomes like returning to work. The document outlines various potential sources of spinal pain and techniques for diagnosing and treating conditions of the discs, facet joints, sacroiliac joints, and nerves.
Presentation1.pptx, normal spinal anatomy.
This document provides an overview of radiological anatomy of the spine as seen on different imaging modalities including radiographs, CT, and MRI. It describes normal anatomy of the cervical, thoracic, and lumbar spine in axial, sagittal, and coronal views. Key anatomical structures like vertebrae, discs, ligaments, muscles, and vasculature are labeled on various images. Imaging techniques for MRI of the spine including slice thickness and plane orientations are also discussed.
Lower Spine MRI (1) - עותק
This document discusses an MRI of the lower spine. It begins with an overview of spine anatomy, including the different regions of the spine. It then discusses common spine injuries and diseases that MRI is used to evaluate. The document outlines the main indications for lumbar spine MRI and principles of how the scans work, including different weightings used to highlight fat, water, and other tissues. It describes techniques like fat suppression and imaging planes used to best view structures of interest.
Nomenclature in spine mri
This document discusses imaging of the lumbar spine. It begins with an introduction and overview of spine nomenclature and the evidence for imaging. Key points include prevalence data for common disc findings in asymptomatic individuals. The document also reviews rationales for imaging, such as ruling out red flag conditions or confirming treatable abnormalities like stenosis or herniated discs. Consensus nomenclature is presented for describing lumbar disc findings.
radiology.Spine 1.(dr.ameer)
Plain film x-rays are useful for initially evaluating spinal trauma and detecting abnormalities like fractures and disc space narrowing. CT scans are better for detecting spinal fractures and bone fragments in the spinal canal. MRI is the best imaging technique for evaluating the spinal cord, nerves, soft tissues, and detecting conditions like disc herniations, spinal tumors, and spinal cord injuries. It can also detect bone marrow abnormalities and is the most accurate test for multiple myeloma, metastases and infections affecting the spine.
Recomendados
Low back pain...2
Low back pain affects 60-80% of adults at some point and is usually caused by minor trauma or injury to back muscles or spinal disks. Common causes include degenerative disk disease and arthritis of the spine. Symptoms include lower back pain that may radiate to the buttocks or legs, along with difficulty standing, sitting, or walking. Treatment options include medications, physical therapy, chiropractic care, acupuncture, massage, yoga, and exercise to relieve pain and improve back muscle strength and flexibility.
LBP - Diagnostic Radiology UPR
The document discusses the Appropriateness Criteria for evaluating back pain, noting that acute low back pain is a leading cause of disability. While most cases are self-limiting, imaging may be warranted to identify red flags like trauma, weight loss, or neurological deficits. Common imaging modalities for back pain are listed along with their strengths and limitations. Plain films are inexpensive but MRI provides the best soft tissue contrast. Imaging correlates best with outcomes when combined with clinical examination, and is usually not needed for uncomplicated back pain without red flags.
Appropriate imaging for low back pain
1) The document discusses appropriate imaging for back pain, describing different imaging modalities like X-rays, CT scans, bone scans, and MRI.
2) It categorizes back pain into 3 groups: nonspecific low back pain, back pain associated with radiculopathy, and back pain associated with a specific cause needing prompt evaluation.
3) Guidelines recommend triaging patients into these 3 categories and only imaging those with red flags, severe/progressive neurological symptoms, or if considering surgery/injections. Imaging is not recommended for nonspecific back pain.
Back Pain
Dr. Shiraz Munshi discusses his approach to treating chronic back pain, which involves precision diagnosis through a combination of history, physical exam, imaging, and diagnostic injections to identify the specific source of pain in 70% of cases. This allows for targeted, minimally invasive treatments like nerve blocks, radiofrequency ablation, and spinal cord stimulation to effectively manage pain and improve outcomes like returning to work. The document outlines various potential sources of spinal pain and techniques for diagnosing and treating conditions of the discs, facet joints, sacroiliac joints, and nerves.
Presentation1.pptx, normal spinal anatomy.
This document provides an overview of radiological anatomy of the spine as seen on different imaging modalities including radiographs, CT, and MRI. It describes normal anatomy of the cervical, thoracic, and lumbar spine in axial, sagittal, and coronal views. Key anatomical structures like vertebrae, discs, ligaments, muscles, and vasculature are labeled on various images. Imaging techniques for MRI of the spine including slice thickness and plane orientations are also discussed.
Lower Spine MRI (1) - עותק
This document discusses an MRI of the lower spine. It begins with an overview of spine anatomy, including the different regions of the spine. It then discusses common spine injuries and diseases that MRI is used to evaluate. The document outlines the main indications for lumbar spine MRI and principles of how the scans work, including different weightings used to highlight fat, water, and other tissues. It describes techniques like fat suppression and imaging planes used to best view structures of interest.
Nomenclature in spine mri
This document discusses imaging of the lumbar spine. It begins with an introduction and overview of spine nomenclature and the evidence for imaging. Key points include prevalence data for common disc findings in asymptomatic individuals. The document also reviews rationales for imaging, such as ruling out red flag conditions or confirming treatable abnormalities like stenosis or herniated discs. Consensus nomenclature is presented for describing lumbar disc findings.
radiology.Spine 1.(dr.ameer)
Plain film x-rays are useful for initially evaluating spinal trauma and detecting abnormalities like fractures and disc space narrowing. CT scans are better for detecting spinal fractures and bone fragments in the spinal canal. MRI is the best imaging technique for evaluating the spinal cord, nerves, soft tissues, and detecting conditions like disc herniations, spinal tumors, and spinal cord injuries. It can also detect bone marrow abnormalities and is the most accurate test for multiple myeloma, metastases and infections affecting the spine.
Spine radiography
The document discusses spine radiography and provides guidelines for evaluating cervical and thoracolumbar spine x-rays. It emphasizes using a systematic approach to evaluate coverage, alignment, bones, spacing, soft tissues and image edges. Factors like normal anatomy, fracture patterns and the three-column injury model are reviewed. Clinical assessment is important as some fractures may be missed on x-rays alone. CT may be needed if injury is suspected or x-rays are unclear.
Mri – spine
verious spinal conditions, disc prolapse, archnoid cysts, loose body, facetal cyst, vertebra plaina, fracture dislocation, AV malformation
Anatomy of Vertebral Column
The vertebral column consists of 33 vertebrae that are separated by intervertebral discs. Vertebrae are named according to the region they are located in - cervical, thoracic, lumbar, sacral, or coccygeal. Each vertebrae has a body and a vertebral arch. The arch forms the vertebral foramen and consists of pedicles, lamina, and processes. The vertebrae stack to form the central axis and protect the spinal cord while allowing movement and providing attachments for muscles.
X-ray spine
X-rays are commonly used to image the spine. The cervical spine can be imaged using anteroposterior, lateral, open mouth, flexion/extension, and oblique views. Key anatomical structures like the vertebrae and discs can be evaluated. Common fractures include teardrop fractures and hangman's fractures. The thoracolumbar spine is also imaged with AP and lateral views. Unstable injuries like burst fractures involve vertebral body collapse while stable injuries include wedge fractures. Spondylolysis is a stress fracture of the pars interarticularis seen best on oblique views.
Lumbar and sacral Biomechanics
The document discusses the anatomy and biomechanics of the lumbar spine and sacrum. It describes the typical lumbar vertebrae, intervertebral discs, spinal ligaments, muscles, and motions of the lumbar spine. It also summarizes common spinal disorders like back strain, herniated discs, spondylolysis, and scoliosis. The sacroiliac joint and sacral anatomy are also briefly covered.
role of biomechanic
The document summarizes a study on the role of biomechanics in maximizing golf shot distances. The study measured muscle activation and joint angles during the golf swing of amateur and professional golfers. Key findings were that professionals had higher angular velocities, producing greater club head speeds and longer shots. The study concluded understanding biomechanics can help improve golf technique and reduce injuries.
X ray c-spine
This document discusses the anatomy and imaging of the cervical spine. It begins with an overview of the anatomy of the cervical vertebrae, including the unique features of the atlas and axis. It then covers the ossification centers, ligaments, spinal nerves, and dermatomes of the cervical spine. The document discusses common projection techniques for imaging the cervical spine, including the AP, lateral, odontoid, and oblique views. It covers interpretation of the images and lists common fractures and normal variants that can be seen.
Biomechanics of lumbar spine
1. The document discusses the biomechanics of the lumbar spine, including its osteology, articulations, ligaments, muscles, blood supply, and kinematics.
2. Key structures include the five lumbar vertebrae and intervertebral disks, facet joints, and ligaments like the anterior longitudinal ligament.
3. The major muscles are the erector spinae and multifidus posteriorly and abdominal muscles like rectus abdominis anteriorly. Range of motion includes flexion, extension, lateral flexion, and rotation.
Anatomy of spine
The document provides an overview of spinal anatomy including:
1) It describes the coronal, sagittal, and axial planes used to view the spine on imaging and their anatomical divisions.
2) The basic structures and functions of vertebrae are outlined including protection of the spinal cord, flexibility, and load distribution.
3) Ligaments, joints, vasculature and innervation of the spine are summarized at different regions from cervical to lumbar.
The Top Skills That Can Get You Hired in 2017
We analyzed all the recruiting activity on LinkedIn this year and identified the Top Skills employers seek. Starting Oct 24, learn these skills and much more for free during the Week of Learning.
#AlwaysBeLearning https://learning.linkedin.com/week-of-learning
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Spine radiography
The document discusses spine radiography and provides guidelines for evaluating cervical and thoracolumbar spine x-rays. It emphasizes using a systematic approach to evaluate coverage, alignment, bones, spacing, soft tissues and image edges. Factors like normal anatomy, fracture patterns and the three-column injury model are reviewed. Clinical assessment is important as some fractures may be missed on x-rays alone. CT may be needed if injury is suspected or x-rays are unclear.
Mri – spine
verious spinal conditions, disc prolapse, archnoid cysts, loose body, facetal cyst, vertebra plaina, fracture dislocation, AV malformation
Anatomy of Vertebral Column
The vertebral column consists of 33 vertebrae that are separated by intervertebral discs. Vertebrae are named according to the region they are located in - cervical, thoracic, lumbar, sacral, or coccygeal. Each vertebrae has a body and a vertebral arch. The arch forms the vertebral foramen and consists of pedicles, lamina, and processes. The vertebrae stack to form the central axis and protect the spinal cord while allowing movement and providing attachments for muscles.
X-ray spine
X-rays are commonly used to image the spine. The cervical spine can be imaged using anteroposterior, lateral, open mouth, flexion/extension, and oblique views. Key anatomical structures like the vertebrae and discs can be evaluated. Common fractures include teardrop fractures and hangman's fractures. The thoracolumbar spine is also imaged with AP and lateral views. Unstable injuries like burst fractures involve vertebral body collapse while stable injuries include wedge fractures. Spondylolysis is a stress fracture of the pars interarticularis seen best on oblique views.
Lumbar and sacral Biomechanics
The document discusses the anatomy and biomechanics of the lumbar spine and sacrum. It describes the typical lumbar vertebrae, intervertebral discs, spinal ligaments, muscles, and motions of the lumbar spine. It also summarizes common spinal disorders like back strain, herniated discs, spondylolysis, and scoliosis. The sacroiliac joint and sacral anatomy are also briefly covered.
role of biomechanic
The document summarizes a study on the role of biomechanics in maximizing golf shot distances. The study measured muscle activation and joint angles during the golf swing of amateur and professional golfers. Key findings were that professionals had higher angular velocities, producing greater club head speeds and longer shots. The study concluded understanding biomechanics can help improve golf technique and reduce injuries.
X ray c-spine
This document discusses the anatomy and imaging of the cervical spine. It begins with an overview of the anatomy of the cervical vertebrae, including the unique features of the atlas and axis. It then covers the ossification centers, ligaments, spinal nerves, and dermatomes of the cervical spine. The document discusses common projection techniques for imaging the cervical spine, including the AP, lateral, odontoid, and oblique views. It covers interpretation of the images and lists common fractures and normal variants that can be seen.
Biomechanics of lumbar spine
1. The document discusses the biomechanics of the lumbar spine, including its osteology, articulations, ligaments, muscles, blood supply, and kinematics.
2. Key structures include the five lumbar vertebrae and intervertebral disks, facet joints, and ligaments like the anterior longitudinal ligament.
3. The major muscles are the erector spinae and multifidus posteriorly and abdominal muscles like rectus abdominis anteriorly. Range of motion includes flexion, extension, lateral flexion, and rotation.
Anatomy of spine
The document provides an overview of spinal anatomy including:
1) It describes the coronal, sagittal, and axial planes used to view the spine on imaging and their anatomical divisions.
2) The basic structures and functions of vertebrae are outlined including protection of the spinal cord, flexibility, and load distribution.
3) Ligaments, joints, vasculature and innervation of the spine are summarized at different regions from cervical to lumbar.
The Top Skills That Can Get You Hired in 2017
We analyzed all the recruiting activity on LinkedIn this year and identified the Top Skills employers seek. Starting Oct 24, learn these skills and much more for free during the Week of Learning.
#AlwaysBeLearning https://learning.linkedin.com/week-of-learning