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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-
• L2,3,4-Quadratus femoris • L5—Medial hamstring • S1—Achilles
• 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 -