MS 3 Flashcards
common site for herniated disc w/ symptoms is at what level of spine
L5-S1 (buttock/leg pain)
best imaging for dx a herniated disc
MRI
medial tibial stress syndrome MTSS aka
shin splints - microtears and inflammation of the muscles and tendons of the tibia
shin splint - if stress fracture if suspected, order what imaging first
plain x ray
steinman’s test is to
meniscus tear
steinman’s test
flex the knee joint and palpate the joint line, pain over the posterior joint line w/ flexion is positive for meniscus tear
apley’s test is to
meniscus tear
apley’s test
supine, flex knee 90 degrees, press heel down + pain indicates meniscus tear
meniscus tear tx plan
4
- RICE
- ice packs
- when pain/swelling gone, start quad strengthening exercises
- NSAIDs or tylenol for pain
most sensitive dx imaging for meniscal tear
MRI
morton’s neuroma
inflammation of the digital nerve of the foot between the third and fourth metatarsals
inflammation of the digital nerve of the foot between the third and fourth metatarsals
morton’s neuroma
morton’s neuroma - increased risk of getting with what?
5
high heeled shoes
tight shoes
obesity
dancers
runners
morton’s neuroma test
Mulder test
Mulder test is to
morton’s neuroma
Mulder test
grasp the 1st and 5th metatarsals and squeeze together; positive is hearing a click along w/ a patient report of pain with compression
morton’s neuroma tx plan
2
avoid tight shoes
refer to podiatry
what two deformities are found in OA
Bouchard nodes
Heberden’s nodes
Heberden’s nodes
OA - nodules on DIP joints
Bouchard’s nodes
OA - nodules on PIP
OA - tx plan, starts with
topical NSAIDs
OA - oral NSAIDs are recommended in who
patients w/ inadequate relief w/ topical NSAIDs or those w/ symptomatic OA in multiple joints
ketorolac/Toradol is limited to
5 days of use
OA - recommended in pts for pain with contraindication of NSAID use and multiple joints involved
duloxetine
