MSI - Slides 29-56

Question 1

Tennis elbow is what type of epicondylitis?

Answer 1

lateral

Question 2

“a condition that results in deterioration of the tendon fibers that attach to the bone at the outside of the elbow”

Answer 2

lateral epicondylitis

Question 3

what are the signs and symptoms of lateral epicondylitis?

Answer 3

pain occurring where the tendons of the forearm muscles attach to the elbow bone at the lateral epicondyles

Question 4

risk factors for lateral epicondylitis?

Answer 4

• repeated use of the forearm muscles
• chronic stress to the forearm muscles, especially the ECRB (eg. screw driving, hammering, painting, using a keyboard with hand in extension)

Question 5

Overuse of flexor/ pronator groups = ____ epicondylitis

Overuse of extensor/ supinator groups = ____ epicondylitis

Answer 5

medial

lateral

Question 6

tommy johns surgery is to fix what side of the elbow?

Answer 6

medial

Question 7

“an overuse injury affecting the flexor-pronator muscle origin at the anterior medial epicondyle of the humerus”

Answer 7

medial epicondylitis

Question 8

What is the most common cause of medial elbow pain?

Answer 8

medial epicondylitis

Question 9

What are risk factors for medial epicondylitis?

Answer 9

• Repetitive use of flexor-pronator muscles, especially with stress at the medial epicondyle
• Screwdriver or hammer work, excessive grip tension

Question 10

“inflammation of the fluid filled sheath (synovium) that surrounds a tendon”

Answer 10

tenosynovitis

Question 11

What would the following symptoms indicate:

• swelling
• pain
• loss of motion
• loss of strength

Answer 11

tenosynovitis

Question 12

What is it called when the tendons in the thumb and fingers do not glide smoothly?

Answer 12

trigger finger/trigger thumb

Question 13

What is trigger finger caused by?

Answer 13

a groove or nodule on the flexing tendon of the finger or thumb

Question 14

With trigger finger, does flexion or extension cause more problems?

Answer 14

usually get stuck when coming into extension

Question 15

Risk factors for trigger finger?

Answer 15

• more common in women
• age (40-60 years)
• can be born with nodule on tendon
• repetitive gripping can cause tendons to become irritated
• associated with using tools that have handles with hard or sharp edges

Question 16

What disorder is this:

forceful gripping = damage to tendons = scar tissue = hard time sliding tendons due to nodules

Answer 16

stenosing tenosynovitis (trigger finger)

Question 17

“condition caused by an inflammation of the tendons located at the thumb side of the wrist”

Answer 17

DeQuervain’s disorder

Question 18

What causes DeQuervain’s disorder

Answer 18

repetitive thumb motions and wrist deviation can irritate the tendons as the move through the tendon sheath - combination of tendonitis and tenosynovitis

Question 19

symptoms of DeQuervain’s disorder

Answer 19

swelling and pain at the base of the thumb

Question 20

risk factors for DeQuervain’s disorder

Answer 20

• “texting thumb” because the repetitive hand movements – thumb pinching, squeezing nd moving the wrist outwards
• direct trauma to wrist or by sudden strain from lifting or unaccustomed exercise
• excessive movements such as hand and wrist twisting, pinching and forceful gripping

Question 21

___ ___ is a bump under the skin caused by an accumulation of fluid within the tendon sheath - commonly found at the hand and wrist

Answer 21

ganglion cyst

Question 22

T/F: Back muscle strains and sprains are damage to the tendons and ligaments caused by on time exertions such as lifting or carrying heavy objects

Answer 22

true

Question 23

Are strains or sprains more common in the workplace?

Answer 23

Strains (muscular injury) - happens often from lifting and rotating without having proper foot movement

Question 24

Kyphotic postures are responsible for a lot of back pain, and are usually causing injury to what muscles?

Answer 24

erector spinae or QL

Question 25

What are the deep core stability muscles of the lower spine?

Answer 25

• transversus abdominis
• multifidus
• pelvic floor

Question 26

The ____ _____ is the deepest abdominal muscle. It is the “corset muscle” of the spine and pelvis. In the normal situation, this muscle contracts in anticipation of body motion to guard spinal joints, ligaments, discs and nerves.

Answer 26

transverse abdominis

Question 27

_____ muscles are very short muscles running from the transverse processes of one vertebra up to the spinous process of the next vertebra upwards. Their main function is back stability. They do not produce a large ROM, but work to produce small, “fine-tuning” postural movements, all day long.

Answer 27

multifidus

Question 28

What type of exercises help work on the deep core muscles?

Answer 28

stability exercises (such as bird-dog)

Question 29

____ ____ pain results from irritation of the area where the ribs meet the spinal cord

Answer 29

facet joint pain

Question 30

What are the symptoms of facet joint pain?

Answer 30

Muscle swelling in the affected area and it can become quite painful to sit or stand up straight. In some cases it may become difficult to breath deeply.

Question 31

____ ____ occurs from prolonged pressure on the spinal disks, which causes them to become permanently compressed.

Answer 31

disk erosion

Question 32

Sciatic nerve impingement (aka sciatica) is common for people who do what?

Answer 32

sit for prolonged periods of time

Question 33

___ ___ occur when the inner portion of the disc protrudes, putting pressure on the nerve roots leading from the spine.

Answer 33

herniated discs

Question 34

what is a common symptom of herniated discs in the lower back?

Answer 34

pain or numbness in the legs