Summary of Symptoms

Question 1

Degeneration joint disease/osteoarthritis

Answer 1

pain and stiffness in the morning
pain eases throughout the morning (4-5 hrs)
pain increases with repetitive bending activities
constant awareness of discomfort with episodes of exacerbations
describes pain as more soreness and nagging.

Question 2

Facet joint dysfunction

Answer 2

stiff upon rising; pain eases within an hour
loss of motion accompanied by pain
sharp pain with certain movements
movement in pain free range usually resolves symptoms
stationary positions increase symptoms

Question 3

Discal, with nerve root compromise

Answer 3

no pain in reclined or semi-reclined position
pain increases with increased weight bearing
describes pain and shooting, burning, or stabbing
pt may describe altered strength or ability to perform ADL’s

Question 4

Spinal stenosis

Answer 4

pain is related to position
flexed position decreases pain & extension increases pain
describes symptoms as numbness, tightness, or cramping
walking any distance brings on symptoms
pain may last for hours after assuming a resting position

Question 5

Vascular claudication

Answer 5

pain is consistent in all spinal positions
pain is brought on by physical exertion
pain is relieved promptly (1-5 min) with rest
pain is described as numbness
pt usually has decreased or absent pulses

Question 6

Neoplastic disease

Answer 6

pain is described as gnawing, intense, or penetrating
pain is not resolved by changes in position, time of day, or activity level
pain will wake the pt