Disease Processes

Question 0

How does RA effect the spine?

Answer 0

May cause weakness in transverse ligament if C1, allowing odontoid process to cause myelopathy. Doesn’t effect thoracic and lumbar spines

Question 1

What are side effects of common arthritis meds?

Answer 1

NSAIDs can cause GI, renal problems

Glucocorticoids can cause hyperglycemia

Question 2

Describe Ankylosing spondylitis

Answer 2

Typical onset is late teens to 20s, is insidious. Pain is increased at rest, decreased with activity. (Opposite of mechanical back pain)

Question 3

What treatments are available for Ankylosing spondylitis?

Answer 3

Ext exercises 3x/day, swimming, sleeping with flat pillows, NSAIDs

Question 4

What causes gout?

Answer 4

Utica acid crystals are deposited in the joint. WBCs attack and release prostaglandins, causing inflammation

Question 5

What is Complex Regional Pain Syndrome?

Answer 5

Pain is out of proportion to injury, with symptoms of autonomic dysregulation (redness, swelling, skin changes). Type 1 is formerly known as reflex sympathetic dystrophy, while type 2 is the same symptoms with nerve involvement as well.

Question 6

What can PT do for CRPS?

Answer 6

Mobilization, compression, and distraction are helpful. Desensitization programs, sympathetic modulation, and aquatic programs may be beneficial.