Topic 18 - PNS Injuries 2

Question 1

Inflammation of a nerve.

Answer 1

Neuritis

Question 2

____________ neuritis affects the nerve’s stroma (outer structures). ______________ neuritis affects the nerve’s axons.

Answer 2

Interstitial
Parenchymatous

Question 3

T/F - Interstitial neuritis and parenchymatous neuritis both usually present together.

Answer 3

True

Question 4

Common causes of ________ include:
- Infection
- Toxins (e.g. alcohol, drugs, poisons, solvents)
- Direct trauma
- Prolonged or severe compression & traction
- Extreme heat or cold
- Electrical stimulation
- Radiotherapy & some chemotherapy drugs
- Some conditions lead to greater susceptibility (e.g. diabetes)

Answer 4

Neuritis

Question 5

T/F - Neuritis is not very painful.

Answer 5

False - Neuritis IS very painful.

Question 6

Pain from neuritis is experienced in the _______ supplied by the nerve and in the ________ portion of the nerve.

Answer 6

Tissues
Affected

Question 7

Pain from neuritis is described as ____/lancinating, intensely achy, extreme an _______.

Answer 7

Deep
Burning

Question 8

T/F - Pain from neuritis is usually variable and is exacerbated by positions/movements which place stress on the nerve.

Answer 8

False - Pain from neuritis is usually CONSTANT and is exacerbated by positions/movements which place stress on the nerve.

Question 9

Pressure and extremes of ___________ applied locally will also cause extreme pain with neuritis.

Answer 9

Temperature

Question 10

Other signs and symptoms of ________ may include:
- Motor weakness
- Spasms
- Fasciculations
- Irritable/depressed reflex responses
- Hypaesthesia
- Hyperesthesia
- Paraesthesia
- Allodynia

Answer 10

Neuritis

Question 11

In nerves that are ___________, a localized ___ streak can be observed on the skin corresponding to the underlying location of the inflamed nerve.

Answer 11

Superficial
Red

Question 12

T/F - Onsite direct techniques are contraindicated while a nerve is acutely inflamed.

Answer 12

True

Question 13

RMTs should avoid exacerbating nerve inflammation and pain with ___________, manual techniques and inappropriate ____________ that place stress on the nerve.

Answer 13

Positioning
Hydrotherapy

Question 14

RMTs can use _______________ cold/cryotherapy placed around the nerve to address inflammation and pain to provide symptom relief.

Answer 14

Circumferential

Question 15

Some _____________ of neuritis include:
- Adhesions
- Range of compensatory problems
- Considerable risk of permanent damage, especially if neuritis is prolonged

Answer 15

Complications