General Approach Flashcards
tumors, osteochondrosis, fracture, osteoporosis, osteomyelitis are common conditions of:
bone
strain, trigger points, atrophy, myositis ossificans, muscular dystrophy are common conditions of:
muscle
tendinitis, tendinosis, paratendinosis, rupture are common conditions of:
tendon
definition of tendinitis
inflammation of tendon
definition of tendinosis
intra-tendon degeneration
definition of paratendinosis
inflammed paratendon
arthritis, subluxation, joint mice, dislocation are common conditions of:
joints
for acute traumatic pain, rule out:
fracture, dislocation, instability, neural and vascular injury
for nontraumatic pain, rule out:
tumors, inflammatory arthritides, infections, visceral referral
if history is trauma:
what is the mechanism of injury?
if history is overuse:
what is the repetitive motion?
if history is insidious:
is there fever, lymphadenopathy, inflammation, deformity, weakness, numbness, tingling?
management for fractures/dislocations, infections, tumors
refer to orthopedic
management for rheumatoid and connective tissue disorders
refer or co-manage
management for instability without ligament rupture
stabilize joint with exercise
management for muscle weakness
strengthen muscle
nociceptive pain caused by:
stimulation of peripheral nerve fibers
neuropathic pain caused by:
damage to nervous system
psychogenic pain caused by:
mental, emotional, behavioral factors
phantom pain:
a type of neuropathic pain
pain that has a nondermatomal pattern with no hard neurological findings
scleratogenous pain
pain that is deep, worse at night
bone pain
pain with a visceral complaint or referral zone
referred pain
ways to test ligaments
direct palpation and stress testing
ways to test tendons
direct palpation and stretch to end range
ways to test muscles
direct palpation and contraction test for weakness
ways to test nerves
tapping, compression, muscle testing, deep tendon reflexes, sensory testing
pain on active ROM
muscle or ligament
pain during passive ROM
ligament, bursa, capsule
pain on resisted ROM
muscle strain
pain that is deep and worse at night
bone pain