PT Examination "PAIN" Flashcards
1
Q
Make a subjective assessment of pain
A
- Severity
- Irritability
- Nature
- Stage
2
Q
Severity
A
- How bad is it?
- What are you not able to do that you used to do?
- 1-10 pain scale
3
Q
Irritabilit
A
- How easily are your symptoms provoked?
- How much do you have to do to bring on your symptoms?
4
Q
Nature
A
- Where or how does it originate?
- Was it from an event?
- What structures are involved?
5
Q
Stage
A
- Time frame, acute, chronic, subacute?
- Is it getting better, worse or staying the same?
6
Q
Is the pain able to be classified
A
- Intrarticular
- Periarticular
- Neural Related
- Discogenic
- Muscular Problem
7
Q
Intrarticular
A
- Inner capsule, compression, synovial fluid
- More constant at end range, more debilitating over all, painless resting periods do not exist, disorder is chronic, pain is deep seated, pain will return soon after treatment, pt on lots of medication, pain occurs in multiple directions with varying symptoms
8
Q
Periarticular
A
- OA, RA, Bursitis
- Painful during stretching or squeezing, end range of motion pain or impingement, not typically chronic, painless positions are easily found, can involve he outer layer of he synovial lining, if not contractile (ligament), if contractile (tendon)
9
Q
Neural
A
- Bizarre or weird symptoms, difficulty describing the symptoms, whole hand or whole leg involvement, may be highly debilitating causing numbness, motor loss, may need to be stretched decompressed, or glided
10
Q
Probable Cause of Neural related pain
A
- Fusing with scaring, stenosis, disc hurniation with surrounding compression, nerve irritation with inflammation, demyelination, viral attack, post-surgical tightness
11
Q
Regauarding to nerve root pain
A
- If irritated; pain increases, reflexes increases, mm tone increases, myotome normal, sensation increases
- If compressed; pain none, reflexes decreased, mm tone decreased, myotome weakness, sensation decreased
- If between the two stages; pain is present but not severe, reflexes may be increased, mm tone may be increased, myotome is mixed, sensation is mixed
12
Q
Discogenic
A
- May be midline or peripheral, may occur in multiple bouts, may have significant increase in symptoms with shearing motion, will have one specific event that initiated symptoms, and pain will increase with motion towards the side of the injury
13
Q
Probable Cause of Discogenic
A
- Dis herniation, disc prolapse, annulus breech, vetebral end plate irritation
14
Q
Muscular Problem
A
- Will typically be gone by the time we see them, if rupture or tear, may need surgical intervention, pain with contractile activities, and c/o dull ache associated with inflammation
15
Q
Probable cause of muscular problem
A
- Muscle tear
