LG 1.1 Limb pain scheme Flashcards
Name disease processes that can present as limb pain?
- Rheumatoid Arthritis
- Osteoarthritis
- Meniscal Tear
- Fracture
- Rotatory Cuff Tear
- Bursitis
- Carpal tunnel Syndrome
- Cervical Radiculopathy
- Raynaud’s Disease
- Lymphedema
- Fasciitis
- Myositis
- Congenital Deformities
- Claudication (vascular or neurogenic)
(1) Give examples of articular locations where pain can occur?
- Synovium
- Synovial fluid
- Articular cartilage
- Intra-articular ligaments
- Joint Capsule
- Bones of the Joint
(1) Give examples of non-articular locations where pain can occur?
- Supportive extra-articular ligaments
- Tendons
- Bursae
- Muscle
- Fascia
- Long bones (diaphysis)
- Nerve
- Overlying skin
(1) How does inflammation of the joints in a hand differ between rheumatoid arthritis and osteoarthritis?
- Rheumatoid arthritis: inflammation of MCPs, PIPs.
- Osteoarthritis: inflammation includes DIPs, all are inflamed.
(1) How to decide between articular and non-articular?
- Articular- painful for patient in passive and active range of motion. Use palpation to determine joint inflammation. Clicking or popping.
- Non-articular - not painful in passive motion. Skin may be red and inflamed but may not be in joint.
(1) give a few examples of articular limb pain
RA, OA, meniscal tear, fracture
(1) give a few examples of non-articular limb pain
Rotator cuff tear, bursitis, Carpal tunnel, fracture, somatic dysfunction
(1) give a few examples of neurological limb pain
cervical radiculopathy, claudication, somatic dysfunction
(1) give a few examples of vascular limb pain
Raynaud’s, claudication
(1) give a few examples of lymphatic limb pain
lymphedema, somatic dysfunction
