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PC 617 Musculoskeletal > Neck/back/shoulder pain > Flashcards

Neck/back/shoulder pain Flashcards

1
Q

Neck Pain

A

What dermatone is being effected?

Get Hx

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2
Q

Neck Pain x-ray

A

Not routinely recommended for episode of neck pain

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3
Q

Spurlings movement

A

see below

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4
Q

neck pain x-rays

A

warranted if coticosteroid use, alcohol abuse, hx of cancer,

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5
Q

neck pain

A

MRI used for structures and soft tissue damage is neurological problems were found
CT for those who can’t have MRI

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6
Q

Spurlings manuever

A

Lock hands on top of the head and push down, then tilt back and then tilt to the side

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7
Q

Lhermittes

A

flex head forward

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8
Q

Shoulder pain

A

Dx with history, exam and plain x-ray

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9
Q

Neers test

A

With arm out in from and thumb downwards, raise arm above head. Positive could mean tear in rotator cuff

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10
Q

Hawkins test

A

more sensitive than Neers

shoulder at 90’ of flexion, flex elbow to 90’ and internally rotate humerous (thumb pointing down)

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11
Q

empty can test

A

just like it sounds

indicates injury to supraspinatus muscle or tendon

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12
Q

Tx for shoulder pain

A

NSAIDs, ice, PT. If not responding in 6 weeks refer

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13
Q

Elbow pain

A

Bursitis of the olecranon

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14
Q

Most common elbow pain

A

lateral epicondylitis (tennis elbow)

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15
Q

elbow pain

A

assess both elbows for carrying angle, posture, strength, and rom

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16
Q

Elbow

A

0-135 extension

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17
Q

elbow

A

look for pain, weakness, trouble opening things, truneing knobs

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18
Q

elbow tx

A

tender over lateral epicondyle, srist extension against resistance
Manage with rest, ice, NSAIDS, PT, and elbow strap

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19
Q

elbow pain

A

medial epicondylitis-golfers elbow

20
Q

Low back pain

A

Inspect, do leg raise test, rom, motor function, abdominal exam

21
Q

back pain-Dx

A

none on first visit

persistent back pain after 6 weeks, then x-ray

22
Q

back pain if client over 50

A

focal bone pain, severe trauma?, hx of malignancy, then refer to neurologist

23
Q

stress in back pain

A

usually self limiting, 90% resolve in 1-6 week
Tylenol, NSIDS, muscle relaxants
Activity as tolerated, walking, wt loss, PT, exercise 30 min/day stop smoking
RTC in two weeks
No benefit to exercise in first 2-3 weeks

24
Q

Hip pain

A

OLDCARTS
stiffness
acute trauma?
pain at rest? sitting?lying down?

25
Q

hip pain

A 
inspect
palpate
ROM
DTRs
Dx tests
differential Dx: OA, trochanteric bursitis, RA
26
Q

hip pain management

A

DJD-tylenol, NSAIDS, glucosamine with or without chondroitin, Capsaicin
Bursitis-avoid activities that aggravate, moist heat applications, ROM exercises, NSAIDS
RA- treat RA

27
Q

Hip pain

A

Do fall risk assessment

GI education about the NSAIDS-take with meals, etc.

28
Q

Knee Injury

A

Most related to exercise and sports
Meniscus is the most common
pain “locking” or “giving away”, reported twisting injury

29
Q

Knee injury

A

tender over the medial and lateral joint
Positive McMurry sign
Trauma= x-ray AP, lateral, tunnel & axial views
MRI- only if referral has been made

30
Q

Knee injury

If no mechanical problem

A

RICE
Crutches
exercise to improve quads
Traumatic=REFER

31
Q

RICE

A

rest, ice, compression, elevate

32
Q

McMurry sign

A

client lays on back, knee is flexed and then examiner rotates tibia internally and externally. Any clicking or popping means tear

33
Q

Apleys test

A

Client lies prone, flex knee, stabilize thigh, grab foot and rotate the tibia

34
Q

Thessaly test

A

client stands on “bad” leg and then flexes and lifts other foot and twists

35
Q

Ankle injury

A

Swollen painful joint

weight bearing causes pain

36
Q

Ankle injury

A

Inversion most common with damage to lateral ligaments

37
Q

3 degrees of ankle injury

A

1st degree-full ROM, mild swelling, stable joint
2nd degree-partial tear, mild to moderate swelling, pain, slightly limited rom
3rd degree=severe pain, loss of function, swelling, can’t bear weight

38
Q

ankle sprains

A 
how it happened?
what happened after the injury?
inspect, palpate, passive rom
crepitus??
x-ray
39
Q

ankle sprain

A

management-
ICE, after injury then every few hours for 48.
stabilize, limit activity till swelling gone
NSAIDS

40
Q

Sprain

A

is a ligament injury

41
Q

ankle sprain

A

Takes weeks to rehab. Start right away. passive and active ROM and strengthening exercises even if writing the alphabet in the air with ankle.
Risk for injury in 1st month with no rehab. Risk for fx and joint instability

42
Q

Carpal tunnel

A

compression of the medial nerve
aching, numbness
drops things, wakes client at night

43
Q

carpel tunnel

A

inspect, for swelling, nodules, redness, deformity,
palpate for tenderness
Phalens sign
Tinnel sign

44
Q

Carpel tunnel-no diagnostic tests

A

Tx: neutral wrist position splint-especially at night
NSAIDS
reduce fluid retention
referral if thenar atrophy or no improvement

45
Q

If pregnant carpal tunnel

A

wrist brace, tylenol. worse in 2nd and 3rd trimester.

If no improvement, after 3 mos postpartum, refer

46
Q

Fibromyalgia

A

see slides and book

PC 617 Musculoskeletal (1 decks)

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