musculoskeletal pain

Question 1

length that req provider asssessment

Answer 1

Chronic ≥ 3 months

Question 2

length of acute pain

Answer 2

< 4 weeks

Question 3

myalgia location

Answer 3

muscles

Question 4

myalgia sign

Answer 4

Swelling (rare)

Question 5

myalgia symptoms

Answer 5

Dull, constant ache, weakness, muscle fatigue

Question 6

myalgia onset

Answer 6

Trauma = acute, Drug-induced = insidious

Question 7

myalgia approach

Answer 7

Eliminate cause, stretching, rest, heat, topical and systemic analgesics

Question 8

tendonitis location

Answer 8

Tendons around joints

Question 9

tendonitis sign

Answer 9

Warm, swelling, erythema

Question 10

tendonitis symptoms

Answer 10

Mild-severe pain after use, loss of range of motion

Question 11

tendonitis onset

Answer 11

Gradual, but can be sudden

Question 12

tendonitis approach

Answer 12

Eliminate cause, stretching, rest, ice, heat, topical and systemic analgesics

Question 13

bursitis location

Answer 13

Bursae within joints (knee, shoulder, big toe)

Question 14

bursitis sign

Answer 14

Warm, edema, erythema, crepitus

Question 15

bursitis symptoms

Answer 15

Constant pain that worsens with movement or external pressure over joint

Question 16

bursitis onset

Answer 16

Acute with injury, recurs with use of joint

Question 17

bursitis approach

Answer 17

Joint rest, immobilization, topical and systemic analgesics

Question 18

sprain location

Answer 18

Stretching or tearing of ligament within joint

Question 19

sprain sign

Answer 19

Swelling, bruising

Question 20

sprain symptoms

Answer 20

Initial severe pain, followed by pain with joint use, tenderness, reduction in joint stability and function

Question 21

sprain onset

Answer 21

Acute with injury

Question 22

sprain approach

Answer 22

RICE, stretching, protective wrap, cane, topical counter-irritants, systemic analgesics

Question 23

strain location

Answer 23

Hyper-extension of muscle or tendon

Question 24

strain sign

Answer 24

Swelling, bruising

Question 25

strain symptoms

Answer 25

Initial severe pain with continued pain upon movement and at rest, muscle weakness, loss of some function

Question 26

strain onset

Answer 26

Acute with injury

Question 27

strain approach

Answer 27

RICE, stretching, protective wrap, topical counter-irritants, systemic analgesics

Question 28

osteoarthritis location

Answer 28

Weight-bearing joints (knees, hips, low back hands)

Question 29

osteoarthritis sign

Answer 29

Usually no joint inflammation but possible to have swelling

Narrowing joint space, bone and cartilage restructuring,

Question 30

osteoarthritis symptoms

Answer 30

Dull joint pain relieved by rest, joint stiffness < 20-30 minutes, localized symptoms to joint, crepitus

Question 31

osteoarthritis onset

Answer 31

Insidious over years

Question 32

osteoarthritis approach

Answer 32

Diagnosis, then exercise (light-moderate), weight loss, topical and systemic analgesics

Question 33

RICE- rest

Answer 33

Total rest is no longer recommended

Instead, relative rest is employed including resistance exercise, biking, water aerobics, water jogging, Tai Chi

Question 34

RICE- ice

Answer 34

Work best for superficial injuries, still used as ice message (frozen Dixi cup), ice/cold packs, cryo-cuff to prevent and treat acute swelling, patients with stiffness such as RA and osteoarthritis may prefer heat

Question 35

RICE- compression

Answer 35

Limited data, patients like it and it somewhat decreases local effusion, make sure the compression item fits appropriately and is comfortable

Question 36

RICE- elevation

Answer 36

Current recommendation is to elevate the injury for 10 minutes at a time but to change positions. Biggest error is having the injury in the dependent position for too long