Regional Pain syndrome

Question 0

Study of the indl in the work environment => TX is to modify the environment to minimize potential problems

Answer 0

ERgonomics

Question 1

Overuse syndromes

Answer 1

Due to mictotrauma

Question 2

Clinical Characteristics of Myofasical Pain sydrome

Answer 2

Trigger point, Taut band , Local twitch response

Question 3

5 MAjor criteria to diagnose MPS

Answer 3

1PAin complaint or altered sensation in the expected distribution - zone of reference
2 Regional Pain Complaint
3 PAlpable taut bond J=(job sign) twitching upon palpation
4 Exquisite spot tenderness at one point along the length of the muscle
5 some restricted range of motionm as measurable

Question 4

3 minor criteria for mps

Answer 4

1 Reproduction of pain or altered sensation on pressure on tender spot
2 Local twitch response elicited by snapping palpation or needling into tender spots
3 PAin Alleviated by stretching the musle or injecting the tender spot

Question 5

Associated symtoms in MPS

Answer 5

DEpression, cold weather, sleep distrubances

Question 6

Fibromyalgia (Clinical Characteristics)

Answer 6

1 Widespread pain and tenderness
2 TEnderpoints on digital Palpation (atleast 11)
3 sleep distrubance
4 associated symtoms (fatigue, sx with increasing number of areas involved and chronicity of pain)

Question 7

2 mechanisms of FM

Answer 7

Peripheral - muscle microtrauma

Central - increased serotonin, higher risk of derpession, Hyperalgesia

Question 8

RX for MPS (pharmacologic)

Answer 8

Muscle relaxants,NSAIDS (LOCAL)
GEneralized (FM)
1. TCA
2. Anticonvulsants
3. SNRI

Question 9

Physical Modalities for Physical therapy

Answer 9

1. deep heat, electrotherapy, MAssage,Neuromuscular reeducation, Aerobic exercise

Question 10

anterior shoulder pain aggeavated by overhead activity caused by tendinitis of the rotator cuff

Answer 10

shoulder impingement syndrome

Question 11

Types of stabilizers

Answer 11

Static (glenoid, labrum, gh and joint capsule)
Dybanic STabilizers (musces) Rotator cuff, biceps tendon

Question 12

Conditions that might controbute to Shoulder Impingement syndromes

Answer 12

DM, cervical spine disorders, if bilateral shoulder pain (Think RA)

Question 13

PAinful arc

Answer 13

70-100 degrees most commonly affected

Question 14

NEer’s test

Answer 14

Fix scapila with one hand then flex the shoulder with the other reproduces pain

Question 15

Surgical tx for SIS

Answer 15

subacromial decompression, resection arthroplasty, athryoscopy
Goal is to increase space between acromion and the rotator cuff

Question 16

Speed’s test

Answer 16

Pain at bicipital groove on resisted shoulder flexion at 80-90 degrees

Question 17

Popeye muscle

Answer 17

Bicipital tendinitis

Question 18

Surgerical tx for Bicipital Tendinitis

Answer 18

ACromioplasty, biveps tenodesis

Question 19

PRedisposing gactors of Adhesive capsulitis

Answer 19

Immobility, 40 - 60 yrs old, female, thyroid disease

Question 20

Due to overuse of the wrist in extension or flexion

Answer 20

Epicondylitis

Question 21

Affects origin of the extensor carpi radialis brevis and longus, extensor digitorum, extensor carpi ulnaris, supinator

Answer 21

tennis elbow (lateral epicondylitis)

Question 22

Exams for Tennis elbow

Answer 22

Middle finger test, Cozen’s test

Question 23

Tx for severe chronic cases of LAterla epicondylitis

Answer 23

Platelet rich plasma injections

Question 24

Inflammation of the tendon sheath of the abducgtor pollicis longus, extensor pollicis brevis at hte lateral bords or the anatoimic snuffbox

Answer 24

De Quervain's Tenosynovitis

Question 25

TX for D Q Tenosynovitis

Answer 25

Thumb spica splint, surgical release

Question 26

Due to enlargement of tendon or thickening of the pulley (nodule)) u to 3-4 X normal size

Answer 26

Trigger FInger

Question 27

Due to intraneural ischemia decreased blood flow to the nerve

Answer 27

CTS

Question 28

Causes of low back pain

Answer 28

MEchanical Low back pain OA Degenerative DIsc disease