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Low-Back-Pain-CME-At-Shaheed-Suhrawardy-Medical-College-Hospital-Dhaka-Bangladesh.pptx

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Low-Back-Pain-CME-At-Shaheed-Suhrawardy-Medical-College-Hospital-Dhaka-Bangladesh.pptx Powered By Docstoc
					                         Presenting By-


                         From
Prepared By-             Department Of Orthopedic & Traumatology,
Dr. Md Nazrul Islam      Shaheed Suhrawardy Medical College Hospital,
MBBS, M . sc. (B M E).   Dhaka-1207. Bangladesh.
• Sensory root involvement : pain,
  paraesthesia,
• Motor root involvement : muscle
  weakness, paresis (loss of power) of
  muscle, muscle wasting.
• Autonomic root involvement : Loss of
  bladder and bowel control known as
  cauda equina syndrome which requires
  immediate medical or surgical
  intervention. .
    Risk factors that Pt cannot change-

• Being middle-aged or older.
• Being male.
• Having a family history of back pain.
• Having had a previous back injury.
• Having had a previous back surgery.
• Being pregnant.
• Having had compression fractures of the
  spine.
• Having spine problem from birth(congenital)
Risk factors that Pt can change-
Reflexes:
• L2,3,4-Quadratus femoris
• L5—Medial hamstring
• S1—Achilles
Sensation
• Pin prick-primarily spinothalamic
  tract
• Vibration/position sense-Dorsal
  columns Vibration tested with
  256cps fork Position on 3-4th digit
Low
Back
Pain
         Incepta Pharmaceuticals Ltd.
         Bangladesh



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Description: Low-Back-Pain-CME-At-Shaheed-Suhrawardy-Medical-College-Hospital-Dhaka-Bangladesh.pptx
About Dr. Md Nazrul Islam MBBS (Dhaka), M.Sc (B M E). Head Of Biomedical Engineering Department, Ex-R/S,Orthopedic And Trauma Surgery Dept. Shaheed Suhrawardy Medical College Hospital, Dhaka-1207, Bangladesh.