V. Done Symptoms Of The Vertebral Subluxation Syndrome Flashcards
Scleratogenous referred pain would be described as?
Deep, dull, achy, hard to localize, diffuse
Types of referred pain
Dermatogenous
Scleratogenous
Myotogenous
Enterotogenous
Where are common pain places
The entire spine: low back, thoracic, cervical
Dermatogenous referred pain would be described as?
Sharp, stabbing, well-demarcated
Pain perceived from a stimulus (usually palpation) that normally
wouldn’t provoke pain.
Allodynia
Pain from irritation/pathology of deep somatic structures?
Scleratogenous
Pain from irritation/pathology of muscles (trigger points).
Myotogenous referred pain
What are some sensory changes in vertebral subluxation syndrome?
- No hard neurological deficits
- Segmental hypesthesia and true paresthesias are not consistent with this diagnosis.
- Hyperalgesia and transient allodynia are common.
Referred pain from irritation/pathology of viscera.
Enterogenous referred pain
What are aggravating factors for vertebral subluxation syndrome?
- Activities that stress the joint such as compression or distraction
- increased weight bearing on certain parts of the joints
What are alleviating factors for vertebral subluxation syndrome?
- Decreased activity of the affected joint/area
- Non weight bearing
- Mild stretching and movement (self mobilization)
- Massage
- Ice/heat
- Anti-inflammatory agents and analgesics
Pain from nerve root irritation that refers to dermatomes?
Dermatogenous
In the thoracic spine the pain tends to
Stay segment in the trunk
In the cervical spine the referred pain tends to
Go into shoulder, arm, rarely below the elbow
In the low back the pain tends to
- midline to unilateral
- well or poorly localized
- can be sharp or dull locally
- deep, dull and achy in referral zones
