CT exam and patient history Flashcards
What are descriptors of a musculoskeletal problem?
- sharp
- dull
-aching - numbness
- tingling
-weakness - burning
- shooting
- stabbing
What are descriptors of a non-musculoskeletal issue?
- deep
- boring
- tearing
- pulsating
- itchy
Definition: pain evoked from a dorsal nerve root/ganglion which extends down a limb (inflammation of a nerve)
Radicular pain
What type of pain has a burning/lancinating quality and can be severe/debilitating?
Radicular pain
Pain from an acute disc herniation is an example of ___ pain.
radicular
Definition: pain evoked by a noxious stimulation of structures in the cervical spine that DOES NOT radiate and is very local to the site of irritation
Nociceptive pain
Irritation of the anterior scalene muscle at its insertion site (1st rib) is an example of ___ pain.
nociceptive
Definition: Noxious stimulation to structures in the cervical spine can produce referred pain into the UE/mid-back in addition to pain localized in the neck
Somatic referred pain
C5 referring pain to the lateral deltoid is an example of ___ pain.
Somatic referred pain
Somatic referred pain has a _____ feeling.
dull/aching
Definition: noxious stimulation of an organ that produces referred pain into the low back or neck
visceral referred pain
What is the feeling of visceral referred pain?
- dull/aching
- gnawing
- expanding pressure feeling
Definition: left shoulder pain from the spleen
Kehr’s sign
Low back pain can be caused by noxious stimulation of the ___ (visceral referred pain).
kidney
Noxious stimulation of the ___ can result in right scapular pain (Visceral referred pain).
gallbladder
Definition:
- Involves pressure on a nerve or nerve root
- pins and needles, tingling feeling
paresthesia
Lesions of the _____ causes paresthesia.
nervous system
Lesions of the _____ system produces pain.
musculoskeletal
Definition: rounded shoulders and forward head posture
kyphosis
Normative value for cervical FLX
60-80 degrees
Normative value for cervical EXT
60 degrees
Normative value for side bending
45 degrees
Normative value for cervical ROT
90 degrees
What should you assess if a patient’s primary restriction is cervical ROT?
Assess Upper C-spine
___% of cervical rotation comes from the AO and AA joints of the neck
50%
What should you assess if a patient’s primary restriction is in cervical side bending?
Assess mid-lower C-spine and upper ribs
The C2-C3 segments are often limited in ____ which can mimic trigeminal symptoms and cause headaches
extension
What are the possible findings of the cervical compression test?
- acute lesion (disc herniation)
- pressure on a sensitive structure (formainal stenosis)
- Fracture w/ elicit pain
What is considered as a (+) test for cervical compression test and Spurling’s compression test?
Reproduction of neck or UE symptoms
What does it mean if a Spurling’s compression test produces neck pain?
The pain can be from joint tissue
What does it mean if there is reproduction of UE symptoms when performing a Spurling’s compression test?
- referred pain from the joint
- disc herniation
- foraminal stenosis
What are you looking for when performing a cervical distraction test?
Decrease in neck and UE symptoms
What is a quick and very effective screening test to help determine if the UE symptoms are coming from the C-Spine?
Cervical Distraction test with UE activity