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Lumbosacral (low back pain) Causes
- muscle strain or spasm
- ligament sprain
- disk gegenarion
- herniation (usually occuring at L4-L5)
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Lumbosacral Assessment
- Pain is primary concern!!
- paresthesia
- sciatic compression = pain when leg is straight & lifted
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Nonsurgical Management of Lumbosacral Pain
- positioning
- drug therapy: NSAIDs, epidural, corticosteroids, AED's: neuronton, oxcarbazepine
- heat therapy
- physical therapy
- weight control
- chiropractic
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Surgical Management of Lumbosacral Pain
- diskectomy
- laminectomy
- spinal fusion
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Complications of Lumbar Spinal Surgery
- CSF leakage
- fluid volume deficit
- urine retention
- paralytic ileus
- infection
- PCA for pain management
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