CPA 3 - Common Fibular n. Compression Neuropathy Flashcards

1
Q

What are 3 components of the Biomechanical model for Common Fibular n. Compression Neuropathy?

A

HVLA posterior fibular head
BLT posterior fibular head
Hiss whip plantar cuboid

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2
Q

What are 2 components of the Respiratory/Circulatory model for Common Fibular n. Compression Neuropathy?

A

Petrissage/Effleurage (open thoracic inlet)

Pedal pump

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3
Q

What are 2 components of the Neurologic model for Common Fibular n. Compression Neuropathy?

A
Sensory = L4-S2 --> sacral rocking to reduce firing
ANS = Lateral ankle TP - normalize SNS tone
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4
Q

What are 2 components of the Metabolic/Energy model for Common Fibular n. Compression Neuropathy?

A

NSAIDs - reduce pain

Muscle relaxers - reduce tension on bone

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5
Q

What are 3 components of the Behavioral model for Common Fibular n. Compression Neuropathy?

A

Stretching exercises
Avoid strenuous activity until pain subsides
Refer to PT

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6
Q

What is the first area to assess and what are the TART findings?

A

Proximal, lateral leg
Tenderness
Leg ROM
Erythema, swelling, ecchymosis

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7
Q

What is the second area to assess and what are the TART findings?

A

Ankle
Tenderness
Ankle ROM
Erythema, swelling, ecchymosis

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8
Q

What is the third area to assess and what are the TART findings?

A

Foot
Tenderness
ROM of foot bones
Erythema, swelling, ecchymosis

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9
Q

What tests would you use to diagnose an SD at the proximal, lateral leg in a pt with Common Fibular n. Compression Neuropathy?

A
Evaluate fibular head - ant/post
Tibia ROM
Valgus/Varus of knee
ACL/PCL
Leg ROM at knee
Leg ROM at ankle
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10
Q

What tests would you use to diagnose an SD at the ankle in a pt with Common Fibular n. Compression Neuropathy?

A

Ankle ROM

Evaluate lateral malleoulus

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11
Q

How would you Tx a proximal, lateral leg SD (posterior fibular head) and is it an indirect or direct Tx?

A

HVLA to posterior fibular head

Direct

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12
Q

How would you Tx an ankle SD (anterior lateral malleoulus) and is it an indirect or direct Tx?

A

BLT to fibula

Indirect

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13
Q

What is an OMM ANS Tx for Common Fibular n. Compression Neuropathy?

A

Lateral ankle TP counterstrain

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14
Q

What is an OMM lymphatic Tx for Common Fibular n. Compression Neuropathy?

A

Effleurage/Petrissage

*Open thoracic inlet first

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