Presenting By-

Prepared ByDr. Md Nazrul Islam MBBS, M . sc. (B M E).

From Department Of Orthopedic & Traumatology, Shaheed Suhrawardy Medical College Hospital, Dhaka-1207. Bangladesh.

 Sensory root involvement : pain, paraesthesia, Motor root involvement : muscle weakness, paresis (loss of power) of muscle, muscle wasting. Autonomic root involvement : Loss of bladder and bowel control known as cauda equina syndrome which requires immediate medical or surgical intervention. .

Risk factors that Pt cannot change-

Being middle-aged or older. Being male. Having a family history of back pain. Having had a previous back injury. Having had a previous back surgery. Being pregnant. Having had compression fractures of the spine. Having spine problem from birth(congenital)

Risk factors that Pt can change-

Reflexes:

L2,3,4-Quadratus femoris L5Medial hamstring S1Achilles

Sensation

Pin prick-primarily spinothalamic tract Vibration/position sense-Dorsal columns Vibration tested with 256cps fork Position on 3-4th digit

Low Back Pain

Incepta Pharmaceuticals Ltd. Bangladesh

Special Thanks to -