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Lumbar Spine

Updated on January 31, 2016

Assessment of Back Pain

Back pain is one of the great human affliction. Almost anyone born today in Europe or North America has a great chance of suffering a disabling back injury regardless of occupation. The lumbar spine supports the upper body and transmits the weight of the upper body and transmits the weight of the upper body to the pelvis and lower limbs. Because of the strategics location of the lumbar spine, this structure should be included in any examination of the spine as a whole or in any examination of the hip or sacroiliac joint.


Applied Anatomy

Lumber Spin-

Resting position - Midway between flexion and extension

Closed packed position - Full extension

Capsular pattern - Side flexion and rotation equally limited extension.

Lower Back Pain

Back Pain Due To Failed Back Syndrome
Back Pain Due To Failed Back Syndrome | Source

"Mechanical" Low Back Pain

  • Pain is usually cyclic.
  • Low back pain is often referred to the buttocks and thighs.
  • Morning stiffness or pain is common.
  • Start pain when starting movement common.
  • There is pain on forward flexion and often also on returning to the erect position.
  • Pain usually becomes worse over the course of the day.
  • Pain is relieved by change of position.

Low Back Pain

Predictor of Chronicity Within the First

See results

Back Pain

Lower Back Pain
Lower Back Pain | Source

Activity and Percentage Increase in Disc Pressure at L3

Coughing or straining
5% to 35
 
Laughing
40% to 50%
 
Walking
15%
 
Side bending
25%
 
Small Jumps
40%
 
Bending Forward
150%
 
Rotation
20%
 

Lumbar Spine

Lumbar Spine
Lumbar Spine | Source

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