Pain in Low Back or Butt

Map Branches

• Syndesmophyte
  • Inflammation @ Enthesis
  • Ossification Outer Layers of Annulus Fibrosus
    • Cannot revert back
  • Ossification Bony Bridge between 2 Adjacent Vertebra
    • NO ROM (range of motion)
    • Adjustment = Fracture = Death
  • Doesn't Pertain to Bony Spurs
• Chest Expansion
  • Rib joint Ossification (limits expansion)
  • Measure circumference @ nipple line (4th intercostal)
    • In full Inspiration
    • In full Expiration
  • Difference between full inspiration and full expiration
    • Not less then 6cm
    • Less then 3cm = Ankylosis Spondylitis
      • (Aka NY Criteria)
      • Diaphragmatic breathing only
• Charateristics
  • Pain in Low Back or Butt
    • Young Males
    • Male 4:1 Female
  • Pain in Spine much Stronger
    • During 2nd half Night or early Morning
    • Mildest during evening (cause of more movement)
  • Motion = Decrease in Pain
    • Exercise = Beneficial
    • Leads to decrease of pain
    • Prevents Joint Ankylosis
    • Disuse Osteoporosis (DUE TO LACK OF MOTION)
  • Chiropractic
    • 2ndry treatment after inflammation is treated
    • Improves motion
• Complications
  • Iritis (Aka Iridocyclitis)
    • Inflammation of Iris
    • IMPORTANT DIAGNOSTIC SIGN OF AS
    • Adhesion of Iris to Pupil
    • Part of NY Criteria for AS
    • Causes Eye Pain
    • Only Impacts Accommodation
    • Develops before it manifests in the spine (10-15yrs later)
  • Aortic Insufficiency
    • Dilation of Aortic Ring with vascular insufficiency
    • Causes
      • Rheumatic Fever
      • Bacterial Endocarditis
      • Tertiary Syphilis
  • Sign (No DIASTOLIC PRESSURE)
  • Morbidity = 0.1-0.5%
• Ossification all Ligaments
  • Flexion Lmtd
  • Lateral Flexion Lmtd
  • Loss of ROM (Advanced)
  • Kyphosis Flattened
  • Bent Knees for stability
• Early stages
  • Sacroiliitis

Comments

► Comments for document "CNS Infections"

	Kathleen Sundmark almost 4 years ago	Great info. Lots of work. Thank you for these maps. They represent a lot of information and a great deal of work.

	Edward Shekhter almost 4 years ago	Re: Great info. Lots of work. Thank you. Just got NovaMind about 3 weeks ago. This is my first go at it. There is so much information, but I am not sure if the way I presented/did this is the best way. Also I am looking for more insight and better way to do these mind maps, from experienced people.

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