1c Flashcards
Pain is
Subjective
If the intensity of the pain or symptoms is such that the patient is unable to move in a certain direction or hold a particular posture because of symptoms, the symptoms are said to be
Severe
If the symptoms or pain become progressively worse with movement or the longer a position is held, the symptoms are said to be
Irritable
new pain that is often severe, continuous, and perhaps disabling and is of sufficient quality or duration that the patient seeks hel
Acute pain
more aggravating, is not as intense as acute pain, has been experienced before, and in many cases, the patient knows how to deal with it
Chronic pain
Acute Pain is accompanied by
Anxiety
Chronic pain is associated with
Depression
Trigger points
localized areas of hyperirritability within the tissues
Peripheralization of Symptoms
The area of pain enlarges or becomes more distal as the lesion worsens
Centralization of Symptoms
The area of pain becomes smaller or more localized as the lesion improves
tends to be felt deeply; its boundaries are indistinct, and it radiates segmentally without crossing the midline
 Referred pain
Acute Conditions
those that have been present for 7 to 10 days
Subacute Conditions
those that have been present for 10 days to 7 weeks
Chronic Conditions
those that have been present for longer than 7 weeks
In Acute on Chronic cases, the injured tissues usually have been
Reinjured
Constant pain
Chemical irritation or tumors, or visceral lesions
Periodic (Occasional) Pain
Activity, position, or posture that irritates or brings the symptoms
Episodic Pain
Specific activities
Most sensitive tissue
Nerve, Fibrous Capsule, Periosteum, Skin
Moderately sensitive tissue
Subchondral Bone, Ligaments, Tendons
Less sensitive tissue
Cortical Bone, Muscle
Least sensitive tissue
Fibrocartilage, Articular Cartilage, Synovial Membrane, Menisci
Always test _____ when applicable
Bilaterally
Always test the unaffected side…
First
Always test The Most Painful/Restricted Movement…
Last
A functional test should not be done just because it is available
Yes
Contractile Tissues
may have tension placed on them by stretching or contraction
Contractile tissues structures include
muscles, their tendons, and their attachments into the bone
Nervous Tissues
have tension put on them by stretching and pinching, as do inert tissues
Inert tissues
include all structures that would not be considered contractile or neurological, such as joint capsules, ligaments, bursae, blood vessels, cartilage, and dura mater
Asis tends to be lower than
Psis
