Part 3 Flashcards
(25 cards)
Neurogenic Referred Pain
Head ache referred pain from upper trapezius and sternocleidomastoid trigger points. Mostly back of head and forehead areas
Neurogenic Referred Pain Causes
Direct head trauma Contra-coup concussion Tumor CVA with brain swelling
Neurogenic Referred Pain Precautions
Avoid head dependent positions Monitor blood pressure
Neurogenic Referred Pain Treatment
Specific treatment parameters as per PT plan of care
Muscle Tension Head Ache
Sternocleidomastoid and upper trapezius
Muscle Tension Head Ache Causes
Postural over strain Repetitive over use Tension/anxiety hypertonus – flight or flight muscle tone readiness.
Muscle Tension Head Ache Treatment
Postural training – modalities and procedures – biofeedback – ergonomics and skills training
TMJ Treatment
Wear a splint or mouth guard Exercise your jaw to prevent headache Stretch regularly Alleviate stress in your life Posture Don’t clench your jaws.
TMJ Treatment
Postural strengthening – mobility and alignment training Soft tissue mobilization Very careful not to compress or irritate the trigeminal nerve or facial nerves Be aware of the patient’s responses to STM Biofeedback and relaxation training Tension and anxiety control through exercise 3Mhz pulsed ultrasound Range of motion and movement control training Cool and warm packs
Cervical Facet Inflammation/Arthritis
The symptoms of cervical headaches include pain that originates near the base of the skull, radiating upwards toward the forehead, eyes, or temples.
Lymph is:
Transparent Colorless alkaline liquid Slightly less viscous than blood 96% water
Lymph contains:
Proteins Lipids Carbohydrates Enzymes Urea Minerals Hormones Dissolved gases (e.g. CO2) Lymphocytes, macrophages Toxins, bacteria Body waste, cell debris
Lymph travels
one-way system: flows only toward the heart
Lymph originates as
plasma (fluid portion of blood)
Arterial blood flows
out of the heart slows as it moves through a capillary bed
This tissue fluid (aka intercellular or interstitial fluid), delivers
nutrients, oxygen, and hormones to the cells
~ 90% of this tissue fluid flows
into the venules, where it enters venous circulation as plasma and continues in the circulatory system
The remaining 10%
of the fluid that is left behind is now knows as LYMPH
The lymph system works in conjunction and is part of the
Immune System Circulatory System Integumentary System
The lymphatic system is broadly divided up into the:
1) Lymphoid Tissue 2) Conducting System (Circulation)
LYMPHOID TISSUE
Primarily involved in immune responses and consists of lymphocytes, and other WBCs enmeshed in connective tissue through which the lymph passes (lymph nodes).
CONDUCTING SYSTEM
Carries the lymph and consists of tubular vessels that include the lymph capillaries, lymph vessels, and the right and left thoracic ducts
Lymphangions
Small pump like segments within the larger lymph vessel generate a lymph vessel contraction to move the lymph up toward the thorax
Thoracic Duct
Largest lymphatic vessel in the body Aka Left Lymphatic Duct Starts at the level of L2, forms cisterna chyli & extends to the root of the neck Curves posteriouly to the left at C7 level Empties into the junction of left subclavian v.
