Chapter 7 Pain and Its Attributes (page 17)

Question 1

Pain and Its Attributes

Examples of causes of joint clicking would be Degenerative Joint Disease or Osteoarthritis, derangements of a knee or TMJ meniscus.

Answer 1

Joint Clicking

Question 2

Pain and Its Attributes

Often described as stiff, tight; trigger point referral often described as numbness or ache.

Answer 2

Muscle

Question 3

Pain and Its Attributes

Usually occur on active movement, sometimes on passive movement; usually due to joint surface wear or tendon/ sheath adherences or roughness. Loose pieces of cartilage.

Answer 3

Joint crepitus

(aka Joint mice)

Question 4

Pain and Its Attributes

Entrapments of nerve roots are often descr ibed as sharp, shooting; they tend to radiate well- delineated pain distally, in a dermatomal distribution; can be described as a dull ache in chronic cases.

Answer 4

Nerve

Question 5

Pain and Its Attributes

Felt in and around the joint; often described as aching, stiff; can also be described as sharp, and increasing or decreasing with activity.

Question 6

Pain and Its Attributes

Injury typically has a traumatic onset, with pain increasing post-trauma over several hours due to joint effusion. Movements that stress the ligament are painful locally.

Answer 6

Ligament

Question 7

Pain and Its Attributes

Can be trauma related or not, and gener ally described as deep, dull, boring, intense; may be so intense as to disturb sleep. Typically not related to movement, unless a fracture is present; then may be described as sharp.

Answer 7

Bone

Question 8

Pain and Its Attributes

Decreased ROM in relation with nerve entrapment may be due to:

Answer 8

Muscular Hyperonicity contraction

Inflammation or joint effusion
Scarring of the joint capsule
Bony deformities

Question 9

Pain and Its Attributes

Pain not aggravated by movement and not decreased by rest is probably ___________; an exception would be a disc lesion, where sitting may __________, and walking __________.

Answer 9

Not muscular origin

Aggravate

Give relief

Question 10

Typically decreased nerve conduction symptoms present in this sequence:

__________________

__________________

__________________

__________________

Answer 10

Decreased vibrational sense
Decreased deep tendon reflexes
Decreased muscle strength
Decreased sensation

Question 11

Pain and Its Attributes

The onset of a neural entrapment can be _______________, due to an injury or specific activity.

Answer 11

Insidious or Sudden

Question 12

Pain and Its Attributes

In most cases with nerve entrapment, what the patient perceives as “weakness” is actually ________________;
usually real weakness must be considerable before it is perceptible to the patient.

Answer 12

Instability or “Giving Away”

Question 13

Pain and Its Attributes

Diffuse intersegmental pain may be of ________ origin. Pain described as excruciating, unrelenting, deep, boring suggest a _____________.

Answer 13

Visceral

Serious Lesion