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Advanced Spine > LBRLP > Flashcards

LBRLP Flashcards

1
Q

neurodynamic pain is suggestive of

A

peripheral nerve sensitization

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2
Q

disproportionate pain to exam findings is suggestive of

A

central sensitization

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3
Q

central sensitization: classification

A

neuropathic

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4
Q

central sensitization: symptomatic structure

A

neural

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5
Q

central sensitization: effect

A

enhanced processing of peripheral input

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6
Q

central sensitization: sx

A
  • Distal pain
  • Hyperaesthesia
  • Hyperalgesia
  • Paresthesia
  • Allodynia
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7
Q

central sensitization: signs

A
  • LANSS score P12

- May have features of the dx groups peripheral sensitization and denervation

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8
Q

denervation: classification

A

neuropathic

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9
Q

denervation: symptomatic structure

A

neural

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10
Q

denervation: effect

A
  • conduction block

- deafferentation

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11
Q

denervation: sx

A
  • Segmentally distributed distal pain
  • Hypoesthesia
  • Weakness
  • Palsy
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12
Q

denervation: signs

A
  • LANSS score less than 12
  • Diminished light touch and pinprick
  • Diminished or absent reflexes
  • Muscle weakness
  • Minimal features of peripheral sensitization
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13
Q

peripheral nerve sensitization: classification

A
  • neuropathic or

- nociceptive

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14
Q

peripheral nerve sensitization: symptomatic structure

A

neural (neurodynamic)

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15
Q

peripheral nerve sensitization: effect

A

enhanced nerve trunk mechanosensitivity

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16
Q

peripheral nerve sensitization: sx

A
  • Pain anywhere in the leg

- Pain associated with movements that elongate the nerve trunk

17
Q

peripheral nerve sensitization: signs

A
  • LANSS score under 12
  • Nerve is sensitive to elongation and pressure
  • Reduce active movements corresponding to nerve mechaniosensitivity
18
Q

musculoskeletal: classification

A

nociceptive

19
Q

musculoskeletal: symptomatic structure

A

MSK

20
Q

musculoskeletal: effect

A

mental projection of pain to limb

21
Q

musculoskeletal: sx

A
  • referred leg pain
  • pain tends to be worse proximally
  • normal neuro fx
22
Q

musculoskeletal: signs

A
  • LANSS score under 12

- none of the signs for central sensitization, denervation, or peripheral nerve sensitization

Advanced Spine (50 decks)

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