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Hoorcolleges extramuraal blok 2 jaar 2
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Hoorcolleges extramuraal blok 2 jaar 2
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HC EM S1 B2Week 2.1 lage rugpijn
Facts
- 90% is aspecifiek
o Betekent niet dat er niets aan de hand is
o Mogelijk is er door overmatige, repetitieve of te hoge druk of trekkrachten op het
weefsel een mechanische overbelasting ontstaan waarbij er nociceptie is ontstaan
- 5-10% is rugpijn met een significant neurologisch component
- 1-2% is een ernstige rugpijn op basis van bedreigende pathologie
Differentiaal diagnostisch in screening
5-20% rugpijn met significant neurologisch component
- Zoals
o Cauda equina syndroom
o Laterale of centrale kanaal stenose
o Prolapse of protusie van de lumbale discus met als gevolg radiculair syndroom
o Spondylolisthesis
, Cauda equina syndroom
- Een compressie van de paardenstaart (cauda equina) in de lumbale regio als gevolg van een
ruimte innemend proces
o Degeneratie
o Discus protusie
o Maligniteiten
Radiculair syndroom en centrale stenose
Spondylolisthesis
Wat voor risico heeft deze patiënt met rugpijn, op het ontwikkelen van chronische klachten
- STarT Back Tool
- Hoog score van 4 of meer
- Laag score van 3 of minder
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