MSK Subjective Assesment Flashcards
what type of pain does sharp, burning shooting relate to?
Nerve
What type of pain does dull ache, poorly localised, superficial relate to?
Muscle
What type of pain does deep, boring, poorly localised relate to?
Bone
What type of pain does diffuse, aching, poorly localised relate to?
Vascular
What does severity of pain relate to?
Pain score and impact on life
What does irritability of pain relate to?
How long it takes to come on and how long it takes to go
What does nature of pain relate to?
Acute/ sub-acture/ chronic
Mechanical/inflammatory/central sensitivity
Source
What are the routine special questions?
Pin and needles
Numbness
Swelling
Colour
Temperature
What are the special questions for lower back pain?
Pins and needles
Numbness
Bladder and bowel function
Altered sensation around genitals
Effect of cough/sneeze on symptoms
Name some yellow flags
Attitude and beliefs about pain
Behaviours
Compensation issues
Diagnosis and treatment issues
Emotions
Family
Work
What are some psychosocial pain measures?
Fear avoidance beliefs questionnaire
Coping strategies questionnaire
OREBRO
Why does threads stand for?
Thyroid
Heart
Respiratory
Epilepsy
Arthritis
Diabetes
Steroids and surgery
What are we looking out for when asking red flag questions?
Cancer
Infection
Trauma/fracture
Systemic/inflammatory
Cauda Equina
Why are key questions to ask in MSK about presenting condition?
Aggs/eases
24hr
Pain
SIN facto relationship between symptom
What do you want to know in MSK about history of presenting condition?
Onset
Duration
Was happened since it started
Previous Investigation
Previous treatments
Previous problems
Name some psychosocial measures of pain
Coping tragedies questionnaire
Fear avoidance beliefs questionnaire
OREBRO
What can a 24 hour pattern tell you about a patient?
Night pain men it’s related to sleeping position, movement in bed or could be a sign of a possible serious pathology
Am - prolonged pain no stiffness = inflammatory cause
Evening - pain aggravated by activity and eased at rest = mechanical
