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Old 09-16-2011
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Rheumatology/Orthopedics ligament sprain vs lumbar strain

Ligament sprain vs lumbar strain: are they same?

I found similar features while reading
both due to specific event or action, pain with movement, better with rest, paraspinal muscle tenderness but vertebral tenderness is absent in both of them.

What is right answer ?
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Old 09-17-2011
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Sprains are ligamentous injuries that are caused by a sudden violent contraction, sudden torsion, severe direct blows, or a forceful straightening from a crouched position. All major ligaments (ie, anterior longitudinal, posterior longitudinal, yellow, intertransversal, capsular, interspinosus, supraspinosus) can sustain sprains; however, the posterior ligaments are more prone to injury.
Strains are defined as tears, either partial or complete, of the muscle-tendon unit. Muscle strains and tears most frequently result from a violent muscular contraction during an excessively forceful muscular stretch. Any posterior spinal muscle and its associated tendon can be involved, although the most susceptible muscles are those that span several joints
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Old 09-17-2011
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Quote:
Originally Posted by ag2011n View Post
Sprains are ligamentous injuries that are caused by a sudden violent contraction, sudden torsion, severe direct blows, or a forceful straightening from a crouched position. All major ligaments (ie, anterior longitudinal, posterior longitudinal, yellow, intertransversal, capsular, interspinosus, supraspinosus) can sustain sprains; however, the posterior ligaments are more prone to injury.
Strains are defined as tears, either partial or complete, of the muscle-tendon unit. Muscle strains and tears most frequently result from a violent muscular contraction during an excessively forceful muscular stretch. Any posterior spinal muscle and its associated tendon can be involved, although the most susceptible muscles are those that span several joints
so they both can present similiarly .
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Old 09-18-2011
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You are correct.
Sprains and strains occur when the body is put under physical stress. The ankle is one of the most common joints that is sprained. Muscles strains may involve any body area that is required to perform work. Lower back pain and spasm is a common result of repetitive lifting injuries, but it only takes one twist or turn at the wrong time or in the wrong position to cause muscle fibers in the back to tear and go into spasm.
The clinical presentation: combination of pain, swelling, and spasm.
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