LBRLP Flashcards
neurodynamic pain is suggestive of
peripheral nerve sensitization
disproportionate pain to exam findings is suggestive of
central sensitization
central sensitization: classification
neuropathic
central sensitization: symptomatic structure
neural
central sensitization: effect
enhanced processing of peripheral input
central sensitization: sx
- Distal pain
- Hyperaesthesia
- Hyperalgesia
- Paresthesia
- Allodynia
central sensitization: signs
- LANSS score P12
- May have features of the dx groups peripheral sensitization and denervation
denervation: classification
neuropathic
denervation: symptomatic structure
neural
denervation: effect
- conduction block
- deafferentation
denervation: sx
- Segmentally distributed distal pain
- Hypoesthesia
- Weakness
- Palsy
denervation: signs
- LANSS score less than 12
- Diminished light touch and pinprick
- Diminished or absent reflexes
- Muscle weakness
- Minimal features of peripheral sensitization
peripheral nerve sensitization: classification
- neuropathic or
- nociceptive
peripheral nerve sensitization: symptomatic structure
neural (neurodynamic)
peripheral nerve sensitization: effect
enhanced nerve trunk mechanosensitivity
peripheral nerve sensitization: sx
- Pain anywhere in the leg
- Pain associated with movements that elongate the nerve trunk
peripheral nerve sensitization: signs
- LANSS score under 12
- Nerve is sensitive to elongation and pressure
- Reduce active movements corresponding to nerve mechaniosensitivity
musculoskeletal: classification
nociceptive
musculoskeletal: symptomatic structure
MSK
musculoskeletal: effect
mental projection of pain to limb
musculoskeletal: sx
- referred leg pain
- pain tends to be worse proximally
- normal neuro fx
musculoskeletal: signs
- LANSS score under 12
- none of the signs for central sensitization, denervation, or peripheral nerve sensitization
