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The Zero to Finals Medical Revision Podcast

Back Pain and Sciatica

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8678 Ratings

🗓️ 7 March 2022

⏱️ 16 minutes

🧾️ Download transcript

Summary

This episode covers back pain and sciatica. Written notes can be found at https://zerotofinals.com/surgery/orthopaedics/backpain/ or in the orthopaedic section of the Zero to Finals surgery book. The audio in the episode was expertly edited by Harry Watchman.

Transcript

Click on a timestamp to play from that location

0:00.0

Hello and welcome to the Zero to Finals podcast. My name is Tom and in this episode I'm going to be

0:10.9

talking to you about back pain and sciatica. And you can find written notes on this topic at

0:16.2

zero definals.com slash back pain or in the orthopedic section of the zero definals surgery book.

0:24.2

So let's get straight into it.

0:26.9

Lower back pain is very common and it has many causes.

0:31.0

Lombago is another term for lower back pain.

0:35.0

Non-specific or mechanical lower back pain refers to the majority of patients who do not

0:40.3

have a specific disease that's causing the lower back pain. Sciatica refers to the symptoms

0:46.7

associated with irritation of the sciatic nerve. Acute lower back pain should improve

0:53.4

within one to two weeks. Recovery can take longer for

0:57.9

sciatica lasting four to six weeks. Chronic lower back pain can have a massive impact on a patient's

1:05.3

quality of life and can be difficult to manage. There are several challenges when managing patients with lower back pain.

1:13.6

This includes identifying any serious underlying pathology that may be there,

1:19.5

speeding up recovery, reducing the risk of chronic lower back pain, and managing the symptoms

1:25.5

if the patient develops chronic lower back pain.

1:28.7

Let's talk about the causes of mechanical back pain.

1:32.6

The causes of mechanical back pain include muscle or ligament sprains,

1:38.2

facet joint dysfunction affecting the facet joints on the vertebra,

1:42.4

sacro-eeliac joint dysfunction, a herniated disc, spondylolisthesis,

1:49.1

which is anterior displacement of a vertebra out of line with the vertebra below,

1:54.6

scoliosis, which refers to a curved spine, and degenerative changes meaning arthritis, affecting the discs and the facet joints.

2:04.4

Let's talk about the causes of neck pain. The causes of neck pain include muscle or ligament

...

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