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Terms in this set (42)
complex regional pain syndrome
board of pharmacy
prescription monitoring program
maximal medical improvement
long acting opiate
short acting opiate
degenerative changes such as osteoarthritis of the vertebral joints and degenerating intervertebral discs (degenerative disc disease) in the low back
pain and discomfort that is caused by degeneration and arthritis of this part of the spine is called -----, which simply means a disease or abnormality of the facet joints.
Lumbar (or cervical) facet arthropathy
commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy)
age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs)
improper movement of the joints at the bottom of the spine that connect the sacrum to the pelvis. It can result in pain in the low back and legs, or inflammation of the joints known as sacroiliitis.
SI joint dysfunction
inflammation of the bursa (fluid-filled sac near a joint) at the outside (lateral) point of the hip known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip.
greater trochanteric bursitis
a common symptom of lumbar spinal stenosis (LSS), causing impingement or inflammation of the nerves emanating from the spinal cord.
a medical condition in which the spinal canal narrows and compresses the nerves at the level of the lumbar vertebrae. This is usually due to the common occurrence of spinal degeneration that occurs with aging
lumbar spinal stenosis
where the toes of the back foot touch the heel of the front foot at each step
positive if inability to stand with the eyes closed
test done during physical exam to determine if a patient with low back pain has underlying herniated disk (often L5)
leg raise test
to determine if the lumbar spine is the source of patient's symptoms
-patient's arms are folded across the chest, examiner places lumbar spine in hyperextension along with combined ipsilateral flexion and rotation to end range
-examiner then applies overpressure through shoulders
-a positive test is a reproduction of the patient's pain that brought them to seek treatment
Lumbar quadrant test
(cervical) a medical maneuver to access nerve root pain
-involves turning the patients head to the affected side and applying downward pressure to the top of the patient's head
-if radicular pain is elicited, then positive test
for possible rotator cuff impingement. Stabilize the scapula and with the thumb pointing down and passively flex the arm. Pain is a positive test.
assesses for possible rotator cuff impingement. Stabilize the scapula, passively abduct the shoulder to 90 degrees, flex the shoulder to 30 degrees, flex the elbow to 90 degrees, and internally rotate the shoulder. Pain is a positive test
flex the shoulder to 90 degrees with the arm supinated. Provide downward resistance against shoulder flexion. Pain indicates possible bicepital tendonopathy or a labral tear.
point the thumb down, flex shoulder to 90 degrees and adduct the arm across midline. Provide resistance against further shoulder flexion and evaluate for pain. Repeat with thumb pointing up and again evaluate for pain. If pain was present with the thumb down but relieved with the thumb up, it is considered a positive test, suspicious for a labral tear.
Flexion, ABduction, External Rotation, and Extension) is performed to evaluate pathology of the hip joint or the sacroiliac joint.
The test is performed by having the tested leg flexed, abducted, externally rotated, and extended. If pain is elicited on the ipsilateral side anteriorly, it is suggestive of a hip joint disorder on the same side. If pain is elicited on the contralateral side posteriorly around the sacroiliac joint, it is suggestive of pain mediated by dysfunction in that joint.
The patient flexes his hip with his knee straight and hip in 30 degrees of flexion first against gravity then with the examiner applying resistance. The examiner could also perform the test passively. If groin or thigh pain is elicited during either of the exercises the test is positive. The test performed passively could elicit pain in the sacroiliac region.
checks the anterior cruciate ligament (ACL). In this test, while you lie on the table, your doctor will slightly bend your knee and hold your thigh with one hand. With the other hand, he or she will hold the upper part of your calf and pull forward
may be done if your doctor suspects a problem with the menisci based on your medical history and the above examinations. In this test, while you lie on the table, your doctor holds your knee and the bottom of your foot. He or she then pushes your leg up (bending your knee) while turning the leg and pressing on the knee. If there is pain and the sound or feeling of a click, the menisci may be damaged
greater trochanteric bursa
carpal tunnel injection
trigger point injection
occipital nerve block
lumbar epidural steroid injection
cervical epidural steroid injection
selective nerve root block
medical branch block
radiofrequency nerve ablation
electromyogram/ nerve conduction study
genicular nerve block/ genicular nerve ablation
sacroiliac joint injection
facet joint injection
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