a four letter word back pain bianca moses spring 2013
TRANSCRIPT
![Page 1: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/1.jpg)
A Four Letter Word
BACK PAIN
Bianca Moses Spring 2013
![Page 2: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/2.jpg)
SPINAL ANATOMY
![Page 3: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/3.jpg)
SPINAL ANATOMY
Verte
bra
![Page 4: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/4.jpg)
SPINAL ANATOMY
LumbarSpine
Verte
bra
![Page 5: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/5.jpg)
SPINAL ANATOMY
LumbarSpine
Verte
bra
![Page 6: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/6.jpg)
SPINAL ANATOMY
LumbarSpine
Verte
bra
![Page 7: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/7.jpg)
SPINAL ANATOMY
LumbarSpine
Spinal Cord
Verte
bra
![Page 8: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/8.jpg)
SPINAL ANATOMY
LumbarSpine
Nerve RootSpinal Cord
Verte
bra
![Page 9: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/9.jpg)
SPINAL ANATOMY
LumbarSpine
Nerve RootSpinal Cord
Lum
bar D
isc
Verte
bra
![Page 10: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/10.jpg)
SPINAL ANATOMY
LumbarSpine
Nerve RootSpinal Cord
Lum
bar D
isc
Nucleus
Verte
bra
![Page 11: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/11.jpg)
SPINAL ANATOMY
LumbarSpine
Nerve RootSpinal Cord
Lum
bar D
isc
Nucleus
Annula
Verte
bra
![Page 12: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/12.jpg)
ANATOMY OF MOVEMENT
![Page 13: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/13.jpg)
ANATOMY OF MOVEMENT
![Page 14: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/14.jpg)
ANATOMY OF MOVEMENT
![Page 15: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/15.jpg)
ANATOMY OF MOVEMENT
![Page 16: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/16.jpg)
ANATOMY OF MOVEMENT
![Page 17: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/17.jpg)
ANATOMY OF MOVEMENT
![Page 18: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/18.jpg)
ANATOMY OF MOVEMENT
![Page 19: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/19.jpg)
ANATOMY OF MOVEMENT
![Page 20: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/20.jpg)
ANATOMY OF MOVEMENT
![Page 21: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/21.jpg)
ANATOMY OF MOVEMENT
![Page 22: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/22.jpg)
ANATOMY OF MOVEMENT
![Page 23: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/23.jpg)
ANATOMY OF MOVEMENT
![Page 24: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/24.jpg)
ANATOMY OF MOVEMENT
![Page 25: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/25.jpg)
ANATOMY OF MOVEMENT
![Page 26: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/26.jpg)
ANATOMY OF INFLAMMATION
![Page 27: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/27.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
![Page 28: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/28.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
![Page 29: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/29.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
![Page 30: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/30.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
![Page 31: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/31.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
Enough pressure on spinal cord causesno signal transmission down spinal
cord and results in numbness
![Page 32: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/32.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
Enough pressure on spinal cord causesno signal transmission down spinal
cord and results in numbness
X
![Page 33: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/33.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
Enough pressure on spinal cord causesno signal transmission down spinal
cord and results in numbness
X
![Page 34: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/34.jpg)
ANATOMY OF INFLAMMATION
Disc itself can cause pain“Discogenic pain”
Most pain comes from inflammationwhich puts pressure on spinal cord thus transmitting pain down nerves
Enough pressure on spinal cord causesno signal transmission down spinal
cord and results in numbness
Where you feel pain or lack thereof, depends on the location of the injury
X
![Page 35: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/35.jpg)
ANATOMY OF DERMATOMES
Disc itself can cause pain“Discogenic pain”
Where you feel pain or lack thereof, depends on the location of the injury
![Page 36: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/36.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 37: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/37.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 38: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/38.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 39: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/39.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 40: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/40.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 41: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/41.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 42: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/42.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
![Page 43: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/43.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
S1
![Page 44: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/44.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
S1
![Page 45: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/45.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
L5
![Page 46: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/46.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
L5
![Page 47: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/47.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
L4
![Page 48: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/48.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
L4
![Page 49: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/49.jpg)
ANATOMY OF DERMATOMES
Where you feel pain or lack thereof, depends on the location of the injury
L3
![Page 50: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/50.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
![Page 51: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/51.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
![Page 52: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/52.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
S1, S2
![Page 53: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/53.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
S1, S2
![Page 54: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/54.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
L4, L5
![Page 55: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/55.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
L4, L5
![Page 56: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/56.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
L3, L4
![Page 57: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/57.jpg)
Where you feel pain or lack thereof, depends on the location of the injury
ANATOMY OF DERMATOMES
L3, L4
![Page 58: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/58.jpg)
RESULT ON VERTEBRAE
![Page 59: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/59.jpg)
RESULT ON VERTEBRAE
![Page 60: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/60.jpg)
RESULT ON VERTEBRAE
![Page 61: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/61.jpg)
RESULT ON VERTEBRAE
![Page 62: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/62.jpg)
RESULT ON VERTEBRAE
![Page 63: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/63.jpg)
RESULT ON VERTEBRAE
![Page 64: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/64.jpg)
RESULT ON VERTEBRAE
![Page 65: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/65.jpg)
RESULT ON VERTEBRAE
![Page 66: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/66.jpg)
RESULT ON VERTEBRAE
![Page 67: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/67.jpg)
RESULT ON VERTEBRAE
![Page 68: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/68.jpg)
RESULT ON VERTEBRAE
![Page 69: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/69.jpg)
RESULT ON VERTEBRAE
![Page 70: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/70.jpg)
RESULT ON VERTEBRAE
![Page 71: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/71.jpg)
RESULT ON VERTEBRAE
![Page 72: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/72.jpg)
RESULT ON VERTEBRAE
![Page 73: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/73.jpg)
RESULT ON VERTEBRAE
![Page 74: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/74.jpg)
RESULT ON VERTEBRAE
![Page 75: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/75.jpg)
RESULT ON VERTEBRAE
![Page 76: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/76.jpg)
RESULT ON VERTEBRAE
Nerve Root Impingement
![Page 77: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/77.jpg)
RESULT ON VERTEBRAE
Nerve Root Impingement
![Page 78: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/78.jpg)
RESULT ON VERTEBRAE
Osteoarthritis
![Page 79: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/79.jpg)
RESULT ON VERTEBRAE
Osteoarthritis
![Page 80: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/80.jpg)
RESULT ON VERTEBRAE
Osteoarthritis
![Page 81: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/81.jpg)
RESULT ON VERTEBRAE
![Page 82: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/82.jpg)
RESULT ON VERTEBRAE
![Page 83: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/83.jpg)
RESULT ON VERTEBRAE
![Page 84: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/84.jpg)
RESULT ON VERTEBRAE
![Page 85: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/85.jpg)
RESULT ON VERTEBRAE
![Page 86: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/86.jpg)
RESULT ON VERTEBRAE
![Page 87: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/87.jpg)
RESULT ON VERTEBRAE
![Page 88: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/88.jpg)
RESULT ON VERTEBRAE
![Page 89: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/89.jpg)
RESULT ON VERTEBRAE
![Page 90: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/90.jpg)
RESULT ON VERTEBRAE
![Page 91: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/91.jpg)
RESULT ON VERTEBRAE
![Page 92: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/92.jpg)
RESULT ON VERTEBRAE
![Page 93: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/93.jpg)
RESULT ON VERTEBRAE
![Page 94: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/94.jpg)
RESULT ON VERTEBRAE
![Page 95: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/95.jpg)
RESULT ON VERTEBRAE
![Page 96: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/96.jpg)
RESULT ON VERTEBRAE
![Page 97: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/97.jpg)
RESULT ON VERTEBRAE
![Page 98: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/98.jpg)
RESULT ON VERTEBRAE
![Page 99: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/99.jpg)
RESULT ON VERTEBRAE
![Page 100: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/100.jpg)
RESULT ON VERTEBRAE
![Page 101: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/101.jpg)
RESULT ON VERTEBRAE
![Page 102: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/102.jpg)
RESULT ON VERTEBRAE
![Page 103: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/103.jpg)
RESULT ON VERTEBRAE
![Page 104: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/104.jpg)
RESULT ON VERTEBRAE
![Page 105: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/105.jpg)
WHAT CAN A NURSE DO?
![Page 106: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/106.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
![Page 107: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/107.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
![Page 108: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/108.jpg)
WHAT CAN A NURSE DO?
25 lbs of force on spinal disc
• Teach proper body mechanics
![Page 109: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/109.jpg)
WHAT CAN A NURSE DO?
75 lbs of force on spinal disc
• Teach proper body mechanics
![Page 110: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/110.jpg)
WHAT CAN A NURSE DO?
100 lbs of force on spinal disc
• Teach proper body mechanics
![Page 111: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/111.jpg)
WHAT CAN A NURSE DO?
150 lbs of force on spinal disc
• Teach proper body mechanics
![Page 112: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/112.jpg)
WHAT CAN A NURSE DO?
220 lbs of force on spinal disc
• Teach proper body mechanics
![Page 113: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/113.jpg)
WHAT CAN A NURSE DO?
220 lbs of force on spinal disc
• Teach proper body mechanics
???? lbs of force on spinal disc
![Page 114: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/114.jpg)
WHAT CAN A NURSE DO?
220 lbs of force on spinal disc
• Teach proper body mechanics
• Weight loss
???? lbs of force on spinal disc
![Page 115: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/115.jpg)
WHAT CAN A NURSE DO?
220 lbs of force on spinal disc
• Teach proper body mechanics
• Weight loss
???? lbs of force on spinal disc
Every extra pound of body weight
Adds 5-10 lbs of pressure on your spine
![Page 116: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/116.jpg)
WHAT CAN A NURSE DO?
220 lbs of force on spinal disc
• Teach proper body mechanics
• Weight loss
• Low impact exercise
???? lbs of force on spinal disc
Every extra pound of body weight
Adds 5-10 lbs of pressure on your spine
![Page 117: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/117.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
???? lbs of force on spinal disc
![Page 118: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/118.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
![Page 119: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/119.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
![Page 120: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/120.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
• Sleep on side with knees flexed and a pillow between knees
![Page 121: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/121.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
• Sleep on side with knees flexed and a pillow between knees
• Sleep on back with roll under knees to flex hips
![Page 122: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/122.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
• Sleep on side with knees flexed and a pillow between knees
• Sleep on back with roll under knees to flex hips
• Teach avoidance of pro-inflammatory foods
SugarOilsTrans FatsDairyGrain Fed MeatsRed Meat/Processed meatRefined GrainsMSG
![Page 123: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/123.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
• Sleep on side with knees flexed and a pillow between knees
• Sleep on back with roll under knees to flex hips
• Teach avoidance of pro-inflammatory foods
• Cold (acute) or Heat (after 24 hrs)
![Page 124: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/124.jpg)
WHAT CAN A NURSE DO?• Teach proper body mechanics
• Weight loss
• Low impact exercise
• Shoe selection
• Ergonomics
• Sleep on side with knees flexed and a pillow between knees
• Sleep on back with roll under knees to flex hips
• Teach avoidance of pro-inflammatory foods
• Cold (acute) or Heat (after 24 hrs)
• Med Teaching
![Page 125: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/125.jpg)
PATIENT: SUBJECTIVE INFO
![Page 126: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/126.jpg)
PATIENT: SUBJECTIVE INFO
• “Woken up at 3am by the pain”
![Page 127: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/127.jpg)
PATIENT: SUBJECTIVE INFO
• “Woken up at 3am by the pain”
• “Excruciating pain in lower back”
![Page 128: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/128.jpg)
PATIENT: SUBJECTIVE INFO
• “I can’t move bit without
in any direction, even a little horrible pain”
• “Woken up at 3am by the pain”
• “Excruciating pain in lower back”
![Page 129: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/129.jpg)
PATIENT: SUBJECTIVE INFO
• “I can’t move bit without
• “I can’t bend I can’t lie
in any direction, even a little horrible pain”
or move at all…I can’t sit, I down, I can’t do anything”
• “Woken up at 3am by the pain”
• “Excruciating pain in lower back”
![Page 130: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/130.jpg)
PATIENT: SUBJECTIVE INFO
• “I can’t move bit without
• “I can’t bend I can’t lie
in any direction, even a little horrible pain”
or move at all…I can’t sit, I down, I can’t do anything”
• “Woken up at 3am by the pain”
• “Excruciating pain in lower back”
• “When lifting a bucket of ice at work yesterday, I had a feeling of ‘release’ in my lower back, but it didn’t hurt, it just felt weird, like a ‘give’”
![Page 131: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/131.jpg)
PATIENT: OBJECTIVE INFO
![Page 132: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/132.jpg)
PATIENT: OBJECTIVE INFO
• Physically fit 20 yo female, BMI 22, no previous health Hx
![Page 133: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/133.jpg)
PATIENT: OBJECTIVE INFO
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
![Page 134: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/134.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
![Page 135: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/135.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
![Page 136: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/136.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
![Page 137: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/137.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
![Page 138: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/138.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
![Page 139: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/139.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex
![Page 140: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/140.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex
![Page 141: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/141.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex
![Page 142: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/142.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
![Page 143: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/143.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
![Page 144: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/144.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
![Page 145: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/145.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+)
![Page 146: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/146.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+)
![Page 147: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/147.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+)
![Page 148: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/148.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+)
![Page 149: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/149.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+)
![Page 150: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/150.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+)
![Page 151: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/151.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+)
![Page 152: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/152.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+)
![Page 153: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/153.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+), trendellenburg test (+)
![Page 154: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/154.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+), trendellenburg test (+)
(-) (+)Not Good
![Page 155: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/155.jpg)
PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+), trendellenburg test (+)
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PATIENT: OBJECTIVE INFO
• Employed as a waitress; full time student
• Physically fit 20 yo female, BMI 22, no previous health Hx
• Seeking attention at urgent care clinic
• Pt reports a possible trauma at work when lifting a bucket of ice from the floor, but no immediate pain was felt
• Patient is painful to the point of tears and cannot achieve relief from Sx of pain and can barely walk
• Pain is 9/10 out of 10
• Movement is guarded, limited range of motion
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+), trendellenburg test (+)
![Page 157: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/157.jpg)
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
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• “I have a difficult time getting comfortable in bed”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
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• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
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• “When its bad, sitting is just
sneezing, coughing or just lifting a foot while sitting causes too much pain to bear”
• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
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• “When its bad, sitting is just
• “Ibuprofen will bad, it can’t even
sneezing, coughing or just lifting a foot while sitting causes too much pain to bear”
• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
touch the pain. The pain is always there.”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
sometimes help, but when the pain is really
![Page 162: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/162.jpg)
• “When its bad, sitting is just
• “Ibuprofen will bad, it can’t even
sneezing, coughing or just lifting a foot while sitting causes too much pain to bear”
• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
touch the pain. The pain is always there.”
• “My leg gets hot spots that burn or intense itching that can’t be soothed or scratched”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
sometimes help, but when the pain is really
![Page 163: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/163.jpg)
• “When its bad, sitting is just
• “Ibuprofen will bad, it can’t even
sneezing, coughing or just lifting a foot while sitting causes too much pain to bear”
• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
touch the pain. The pain is always there.”
• “My leg gets hot spots that burn or intense itching that can’t be soothed or scratched”
• “Some parts of my leg or butt cheek go numb or feel like static on TV” Patient is uninsured”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
sometimes help, but when the pain is really
![Page 164: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/164.jpg)
• “When its bad, sitting is just
• “Ibuprofen will bad, it can’t even
sneezing, coughing or just lifting a foot while sitting causes too much pain to bear”
• “I have a difficult time getting comfortable in bed”
• “Sitting, standing or laying in the same position for longer than a few minutes causes pain”
touch the pain. The pain is always there.”
• “My leg gets hot spots that burn or intense itching that can’t be soothed or scratched”
• “Some parts of my leg or butt cheek go numb or feel like static on TV” Patient is uninsured”
• “Sometimes if feels like a knitting needle being pushed through my heel”
SAME PATIENT, 10 YRS LATER: SUBJECTIVE INFO
sometimes help, but when the pain is really
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SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
• Significant weakness in right leg AEB falls to right when walking on toes or heels
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
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• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
• Significant weakness in right leg AEB falls to right when walking on toes or heels
• Full time employment with no physical demands
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
![Page 172: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/172.jpg)
• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
• Significant weakness in right leg AEB falls to right when walking on toes or heels
• Full time employment with no physical demands
• Pain is currently 3/10 or 4/10, but during flare ups pain is 8/10
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
![Page 173: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/173.jpg)
• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
• Significant weakness in right leg AEB falls to right when walking on toes or heels
• Full time employment with no physical demands
• Pain is currently 3/10 or 4/10, but during flare ups pain is 8/10
• Depressed achilles reflex, positive patellar tendon reflex
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
![Page 174: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/174.jpg)
• 30yo female, BMI 22, moderately active
• Patient is frequently uncomfortable, but has self treated with massage, NSAIDS and modified lifestyle around back pain
• Hx of chronic lumbar back pain, foot pain, muscle spasms
• Reports trauma from 10 years ago and frequently “throws back out”
• Significant weakness in right leg AEB falls to right when walking on toes or heels
• Full time employment with no physical demands
• Pain is currently 3/10 or 4/10, but during flare ups pain is 8/10
• Depressed achilles reflex, positive patellar tendon reflex
• Straight leg raise (+), crossover straight leg (+), trendellenburg test (+)
SAME PATIENT, 10 YRS LATER: OBJECTIVE INFO
![Page 175: A Four Letter Word BACK PAIN Bianca Moses Spring 2013](https://reader037.vdocument.in/reader037/viewer/2022110100/56649e185503460f94b0512e/html5/thumbnails/175.jpg)
POSSIBLE NURSING DIAGNOSES
• Acute pain r/t physical injury
• Chronic pain r/t central or peripheral nerve injury
• Impaired walking related to musculoskeletal impairment
• Ineffective role performance related to physical symptoms of pain
• Bathing self care deficit r/t musculoskeletal impairment
• Dressing self care deficit r/t musculoskeletal impairment
• Deficient knowledge r/t lack of exposure
• Impaired physical mobility r/t musculoskeletal impairment
• Fear r/t innate origins of acute pain
• Risk for falls r/t: difficulty with gait, impaired balance, impaired physical mobility
• Impaired comfort r/t to acute pain
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References
Campbell, T., & Campbell, T. (2005). The china study: Startling implications for diet, weight loss and long-term health. Dallas, TX: BenBella Books.
Care for your back and it will love you back. (2013). AlbertaRN, 68(4), 26-27.
Copstead, L., & Banasik, J. (2005). Pathophysiology. (3 ed, Vol. 465-470). Stlouis, Missouri: Elsevier Mosby.
Eisenberg D., Buring, J., Hrbek, A, Davis, R., Connelly, M., Cherkin, S., Levy, D., & Cuningham, M. (2012). A model of integrative care for low-back pain. The Journal of Alternative and complementary Medicine, 18(4), 354-362.
Fulkerson, L. (Director) (2011). Forks over knives [Web].
Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical surgical nursing assessment and management of clinical problems. (8th ed.). Philadelphia, Pennsylvania: Elsevier Mosby.
Walker, J. (2012). Back pain: Pathogenesis, diagnosis and management. Nursing Standard, 27(14), 49-56.