day eight: tendonpathies ii Flashcards
tendinopathies fall in the category of
CTI: cumulative trauma injury or RSI: repetitive strain injuries
tendinopathies can affect
tendons and or the nerves
list four causes of tendinopathy:
trauma induce
decrease blood flow
poor posture
poor proximal stability
itis means
inflammation
osis means
scar tissues
algia
nerve irritation
tendinitis
inflammatory process
cells found in tissue
tendinosis
degenerative process with fibrosis decreased circulation
fibrosis found in the tissue
tendonalgia
pain
neurogenic in nature
free nerve endings are irritated and signaling “pain” to the brain.neurotransmitter
tenosynovitis
the synovial sheath the tendon runs through is also inflamed
tendinopathy secondary to an RSI means that
there is repetitive use against resistance
repetitive sheering
extremes postures for long time
carrying resistance when muscles are stretched
lateral epicondylitis is known as
tennis elbow
lateral epicondylitis def:
inflammation of the tendon fibers that attach the forearm extensor muscles to the lateral epicondyle
specific muscle of lateral epicondylitis:
ECRB
in lateral epicondylitis the ECRB rubs against the
radial head with the elbow in extension
the muscle tends to get stuck in ______ w/ tennis elbow
fiboplasia
lateral epicondyle is the origin for:
ECRB
EDC
ECU
ECRL
LE is not usually what
an inflammatory condition
histological studies show component
immuno-reactive neurogenic component
this conditions sometimes happens with LE?
radial tunnel
what direction should you treat?
proximal to distal
what else should you correct with LE?
posture and strengthen core
if its inflammatory its called:
tendonitis
counterforce splinting is only appropriate in
final stages of rehab with return to heavier activity
counter force strap seves as a
TENS unit effect
- tactile cue for behavior modification
chronic tennis elbow needs
blood flow and remodeling
with chronic tennis elbow you can use
heat modalities
with lat epicondylitis the splint would put the elbow in
35/40 degrees of flexion
extreme flexion can put
stress on the extensor origin
ultrasound is effective for
short term effects
what has the most evidence backing it
exercise
what type of training exercises should you do?
eccentric
cortisone injection can lead to what bad things?
cell death and atrophy
inhibits collagen synthesis
PRP or Protein Rich Plasma does what?
induces healing by providing cellular mediators
top six EBP treatments:
- stretching.
- HEP
- risk factors edu
- activity modficaiton
- ergonomic training
- pain management
tx for acute LE
ultrasound
ice
iontophoresis
chronic
education
rest
heat strength
prognostic indicators
pt occupation
duration of symptoms
previous history
to return to work prognostic indicators:
compliance w/ HEP
modify work jobs
pt occupation
what level should pain be at to begin resistance training?
resolved or minimal
good stretch to include w/ LE : accordingly to EBP
ulnar deviation independent o f forearm rotation
eccentric exercises where found to
decrease pain and improve grip in the long term
you should start with this method for exercises:
non composite
you move your exercises from ______ to ________
non composite
to
composite
how many reps do you have to do before resistance training?
3 sets of 10
beneficial exercise examples for LE include:
radial nerve glides
EDC exercises w/ rubber ands putty etc.
isometric contraction of abdominals
medial epicondylitis:
golfers elbow
medial epicondylitis results from
repetitive wrist and finger flexion or repetitive motion against resistance
what nerve gets inflamed with medial epicondylitis?
ulnar nerve
what would you palpate to assess ME
the medial epicondyle clear ulnar nerve at the cubital tunnel
you would want to clear the ulnar nerve at the
cubital tunnel
trigger finger occurs where?
A1 pulley
trigger finger is technically a
tenosynovitis
A2 and A4 are necessary for ____ and prevents ____
finger mechanics
prevents bowstringing
main pt symptoms of trigger finger:
finger clicks when trying to straighten
finger gets stuck
grade 1 of trigger
pain and tenderness at a1 pulley
grade 2 of trigger
catching of digit
grade 3 of trigger
locking of digit which is passively correctable
grade 4
fixed locked digit
