Essentials Of Back Pain 1

1. An MRI is indicated :

For anyone who has back pain for at least 3 days

Before you begin treatment because it's the only good way to see what's wrong.

If there is any leg pain in addition to the back pain.

As discussed in the presentation, spinal changes on MRI's are frequent even when there is no history of back pain. This is called a "false positive", because it seems like there is something wrong, but what we see is not the source of the pain. When MRI's are taken unecessarily, "false positives" (such as disc bulges and degeneration) can lead trigger faulty conclusions which lead to poor care and undue feasr that there is severe structural damage when there reality is not.

Explanation

As discussed in the presentation, spinal changes on MRI's are frequent even when there is no history of back pain. This is called a "false positive", because it seems like there is something wrong, but what we see is not the source of the pain. When MRI's are taken unecessarily, "false positives" (such as disc bulges and degeneration) can lead trigger faulty conclusions which lead to poor care and undue feasr that there is severe structural damage when there reality is not.

2. Activity should be eliminated as much as possible until your back pain is gone; rest is the best treatment.

True

False

The best way to recover quickly is to stay active as much as possibel as long as it doesn;t cause increased pain and you move in a safe manner- we call this principle "relative rest". As you feel better you will want to increase activities in a non-painful range in order to stay fit. Addtionally, we know that safe and correct movement helps to decrease your brains perception of threat, and therefore acts to decrease pain.

Explanation

The best way to recover quickly is to stay active as much as possibel as long as it doesn;t cause increased pain and you move in a safe manner- we call this principle "relative rest". As you feel better you will want to increase activities in a non-painful range in order to stay fit. Addtionally, we know that safe and correct movement helps to decrease your brains perception of threat, and therefore acts to decrease pain.

3. Degenerative arthritis on x-rays :

Is always an indication of a bad back and is the reason for your pain.

Means you are stuck with back pain and will have to learn to live with it.

Is typical for most adults to some degree, and doesn't usually tell us much about why you have pain.

Indicates that you will need surgery eventually.

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Explanation

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4. The most significant risk factor for future back pain episodes is arthritis found on x-rays.

True

False

The most significant risk factor for future back pain is a HISTORY OF PRIOR BACK PAIN. X-ray evidence of spinal arthritis is a poor predictor for current of future back pain.

Explanation

The most significant risk factor for future back pain is a HISTORY OF PRIOR BACK PAIN. X-ray evidence of spinal arthritis is a poor predictor for current of future back pain.

5. What percentage of people will suffer from a debilitating episode of back pain at some point in their lives?

10%

25%

55%

80%

The American Red Cross, like other observers, has estimated that approximately 80% of our population will have an episode of back pain which will be severe enough to limit their ability to participate in normal activities of living.

Explanation

The American Red Cross, like other observers, has estimated that approximately 80% of our population will have an episode of back pain which will be severe enough to limit their ability to participate in normal activities of living.

6. Which of these statements is NOT a BACK PAIN MYTH?

Exercise should be avoided until you are completely healed.

X-rays are necessary to find the cause of your back pain.

Bedrest is a mainstay of good treatment of your back pain.

Movement in a "non painful range" will help promote recovery.

The statement "Movement in a 'non painful range' will help promote recovery" is not a back pain myth. In fact, movement within a non-painful range is often recommended for promoting recovery and preventing further stiffness or muscle weakness. This helps to maintain flexibility, strengthen the muscles supporting the back, and improve overall function.

Explanation

The statement "Movement in a 'non painful range' will help promote recovery" is not a back pain myth. In fact, movement within a non-painful range is often recommended for promoting recovery and preventing further stiffness or muscle weakness. This helps to maintain flexibility, strengthen the muscles supporting the back, and improve overall function.

7. Please match the statement with the answer that best describes it:

"Relative Rest"

Bending forward all the way

Prior history of back pain

Submit

8. The weakest motion for your back is?

Twisting to the left

Twisting to the right

Bending forward fully

Leaning backwards

As the chart in the presentation demonstrated, the muscles of your back that protect your spine are relaxed when you bend all the way forward. This causes more pressure on the tissues of your back and is one of the main causes of back pain and injury.

Explanation

As the chart in the presentation demonstrated, the muscles of your back that protect your spine are relaxed when you bend all the way forward. This causes more pressure on the tissues of your back and is one of the main causes of back pain and injury.

9. Most back injuries are due to:

Lifting heavy objects.

Repetitive movement with excess back motion and not enough recovery time.

Traumatic injuries such as falls and car accidents.

Being overweight.

Back pain is most commonly a form of an overuse injury which presents oftentimes without a particular trauma and can occur during otherwise normal activites. Just like we see in other disorders - heart conditions, diabetes, and many other ailments-back pain typically begins due to cumulative stresses that eventually excede the back's tolerance and leading to injury and pain.

Explanation

Back pain is most commonly a form of an overuse injury which presents oftentimes without a particular trauma and can occur during otherwise normal activites. Just like we see in other disorders - heart conditions, diabetes, and many other ailments-back pain typically begins due to cumulative stresses that eventually excede the back's tolerance and leading to injury and pain.

10. Which is NOT true about the "Neutral Position" of your spine.

Is the position of your back during most athletic activities

Requires strong activation of your "core" muscles in order to be maintained.

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Explanation

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