David maggie - LBP
24 important questions on David maggie - LBP
What is the definition of NON-SPECIFIC LBP?
- Accounts for ~85–90% of LBP
- Diagnosis of EXCLUSION
- TYPICAL SOURCES: muscles, ligaments, discs (degenerative), facets, motor-control dysfunction
What characterizes SPECIFIC LBP?
- Usually associated with RED FLAGS OR NEUROLOGICAL SIGNS
What are common causes of NON-SPECIFIC LBP?
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
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What are the clinical presentations of SPECIFIC LBP?
- Leg pain: Radicular
- Neurology: Deficit present
- Night pain: Present (esp. cancer/infection)
- Systemic signs: Fever, weight loss
- Response to movement: Often poor
What is the imaging recommendation for NON-SPECIFIC LBP?
- Imaging findings correlate POORLY with symptoms
What are the management principles for NON-SPECIFIC LBP?
What is the prognosis for SPECIFIC LBP?
- Recurrence: Depends on pathology
- Role of PT: Adjunct / post-medical
What are common APC traps regarding LBP?
- Pain severity ≠ seriousness
- Imaging abnormalities ≠ pain source
- RED FLAGS + NEURO SIGNS = SPECIFIC LBP
What is the one-page exam summary for LBP?
WHAT DO RED FLAGS INDICATE?
LIST THE RED FLAGS FOR SPINAL PAIN ANSWER (APC MUST-KNOW):
- Saddle anaesthesia
- Bowel or bladder dysfunction
- Progressive neurological deficit
- History of malignancy
- Unexplained weight loss
- Fever, infection, immunosuppression
- Significant trauma (esp. elderly)
- Night pain not relieved by rest
WHAT DO YELLOW FLAGS REPRESENT?
WHAT DO BLUE FLAGS REPRESENT?
WHAT ARE BLACK FLAGS?
WHAT DO ORANGE FLAGS INDICATE?
WHAT IS THE MANAGEMENT IMPACT OF BLUE FLAGS?
WHAT IS THE MANAGEMENT IMPACT OF BLACK FLAGS?
WHAT IS THE MANAGEMENT IMPACT OF ORANGE FLAGS?
WHAT DO FLAGS GUIDE?
WHAT FLAGS ARE PRESENT IN A PATIENT WITH LBP, NORMAL NEURO EXAM, FEAR OF MOVEMENT, CATASTROPHIZING THOUGHTS?
WHAT FLAG IS INDICATED FOR A PATIENT WITH LBP + URINARY RETENTION?
WHAT FLAG IS PRESENT FOR A PATIENT AVOIDING WORK DUE TO BELIEF JOB IS UNSAFE?
WHAT IS THE B&K PHILOSOPHY ON LBP MANAGEMENT?
WHAT IS THE FLAG SYSTEM CATEGORIZATION?
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- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
