Lecture 5 - Self Care Flashcards
Bursitis
inflamed fluid filled sac in joint that becomes inflammed
hurts when moves
Tendonitis
inflammation of the tendon with motion
warm to touch, can be sudden
Tendon = bone - muscle
Sprains
injury to a ligament, pain is experienced during movement
Strain
Hyperextension of a muscle or tendon.
Pain at rest
Osteoarthritis (OA) or Degenerative Joint Disease (DJD
structure of joint wears out and the bones of the join are rubbing
Ligament connects
bone to bone
Myalgia Txm
Non drug: stretching, rest,heat
Drug: Topical, counter irritant, topical or oral analgesics
Tendonitis Txm
Non-drug: stretching, rest, ice, heat, immobilization
drug: topical counter-irritants, topical or oral analgesics
Bursitis Txm
Non-drug: joint rest, immobilization, ice
Drug: topical or oral analgesic
Sprain/Strain Txm:
Non-drug: RICE, stretching, protective wrap, assisted devices if needed
drug: topical counter-irritants, topical or oral analgesics
Who 3 Ladder step
- mild
- moderate
- severe
Common topical agents
Methyl salicylate Camphor Menthol Capsaicin Lido cream
Common topical info
most useful in pain states that have predominate peripheral cause
may not be sufficient to produce total pain relief used alone
Counterirritant
Methyl salicylate
Camphor
Menthol
Counterirritant info
“temp relief of minor aches and sprains of muscles/joints”
recommended as adjunct to mscleskeletal injuries and disorders
produces mild, local, inflammatory reaction. These sensations distract from the deep seated pain
decrease transmission of pain
Analgesic and Anesthetics products
capsaicin
Lidocaine
block pain
Counterirritant Efficacy
mixed evidence, not alot
Counterirritant Dosing
can be used prn or scheduled multiple doses per day
Counterirritant Potential adverse effects
- caution if pt develops irritation, rash, burning,stining, swelling, or infection
- external analgesics avoided in children < 2, very cautious in < 18 and use least amount of time possible
Counterirritant counseling points
Apply only to intact skin
Light bandage over application is ok
Avoid heating pads or other devices, inc absorption
Methyl salicylate: caution ppl w/ severe asthma, sensitive to aspirin, or nasal polyps
Capsaicin info
Helpful in nociceptive and neuropathic pain
Capsaicin dosing
must be appleid 2-4 times a day, takes a few days to work
Do not apply PRN
Capsaicin Counseling points
When applied, feeling of warmth
avoid contact with mucosa, wear gloves
dont use with heating pad
Lidocaine MOA
blocks sodium channel to help with pain
