cases 7-9 Flashcards
35 y/old lab technician - r) sided thoracic pain with microscope
Mid-Thoracic intervertebral joint disorder
- Disc dysfunction due to postural strain and
overload with local nociceptive pain with
referred somatic pain into the medial scapular
regions.
Mid-Thoracic intervertebral joint disorder A& E
- ‘mechanical pain’> non-optimal posture from prolonged bent over positions at a desk, computer or in your case with a microscope.
- too much strain on structures over a period of time or fatigue of muscle which can be a source of pain themselves or result in strain on the joints.
- resolves easily and quickly,
-. A large focus will be on posture correction and i would recommend an ergonomic assessment of your work space -mods: changing side you write your notes down will avoid in 1 way>distribute load or see if you can write in front of you. - shoulder blade postural awareness.
Regular breaks at work
-bike riding too so working on posture and muscle control should help with that too. Doc/pharmacist for mild pain relief if needed.
Mid-Thoracic intervertebral joint disorder HEP
Muscle Dysfunction Rehabilitation
CCFT Training: aim for 10X10 sec holds
26-28mmHg or at level assessed
Posture Correction (occipital lift) - Correct with
lumbar, thoracic and scapula, hold for 10
seconds, every 15 minutes
35 year old female - flu - sore ribs
mid-thoracic costo-transverse joint disorder
1. (R) CT/CV joint hypomobility restricting rib
movements and causing local nociceptive pain
and referred somatic pain in the general
thoracic region
mid-thoracic costo-transverse joint disorder
A& E
Inflammation of CV/CT should take 1 week to
get better
result of the flu and prolonged intense coughing. > strain on the joints that connect to the ribs and specifically in your case where the ribs join onto the spine.
stiffness from continuous coughing and cause limited range of movement and painful particularly on the deep breathes because the ribs will be moving more towards their end of range with deep breathes and so the joint will feel more stiff and painful.
- important to continue moving as normally as possible within the limits of pain and while pain is resolving perhaps focus on picking your baby up predominantly with the left side.
mid-thoracic costo-transverse joint disorder
HEP
ROM Maintenance (bow an arrow every 15
mins)
Slow deep breathing short of pain (maintain rib
movement)
Gently Tx rotations in sitting
Progressing to segmental guidance with towl
rotations
30 yold/ female TMJ
- (R) TMJ dysfunction resulting in local
nociceptive pain and referred somatic neck pain
causing altered neuromotor control.
TMJ A& E
-Advice / education
* contributing factors - stress, habitual patterns, parafunctional activities
* strenght training
* stretching - rom
* address abnormal mvmt patters
easing factors - soft foods, ice/heat, resting position
- Stress management
As a rule of thumb:
- if there is 40mm or more of jaw ROM with our
without pain the chances are it’s a cervical spine
issue.
- if there is less than 40mm of movement even if
there is no pain we start with thinking the jaw is
the issue.
-Jaw range can be improved by treating the
neck!
TMJ A& E 2
pa from posture and parafunctional habits - clenching teeth when stressed or teeth grinding at night - if wake up with sore mouth use gaurd
- puts more strain on joints - particularly around times of
recommend and ergonomic assessment for you desk - things such as keeping the computer screen at eye height and making your desk is at the right height for you arms.
TuTALC - every 15 mins
- Regular breaks to get up and walk around, get a snack or have a quick stretch can help with postural problems as well.
TMJ HEP
-Stress reduction
-Ice, heat, self-massage
-TMJ: early opening, maintaining alignment, self
stretches, contract-relax (object in molars or
front teeth), resisting force,
- postural retraining
-CCFT
