Term
| what are the three questions of diagnosis |
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Definition
1. are the patients symptoms reflective of a visceral disorder or a serious or potentially life threatening illness
2. where is the pain arising from
3. What has gone wrong with the patient as a whole that would cause the pain experience to develop |
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Term
| What is the most common of the patients symptoms reflet of a visceral disorder or a serious or potentially life threatening illness |
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Definition
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Term
| Previous history of CA, no position of relief, fever, constitutional symptoms, weight loss |
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Definition
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Term
| Localized severe pain, no position of relief, dramatic relief with NSAID, pain on percussion |
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Definition
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Term
| History of fever and/or chills, fever on examination, pinpoint tenderness, redness or heat |
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Definition
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Term
| History of trauma, history of osteoporosis, pain on percussion |
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Definition
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Term
| Hx of iritis, AM stiffness, improvement with exercise, family Hx |
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Definition
| seronegative spondyloarthropathy |
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Term
| GI complaints, relation of pain to certain foods, abdominal examination |
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Definition
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Term
| GU complaints, bleeding, spotting, unusual discharge, GU examination |
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Definition
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Term
| Gait difficulties, bowel/bladder dysfunction, UMN signs, spasticity, sensory level |
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Definition
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Term
| Bowel/bladder difficulties, saddle anesthesia, decreased anal sphincter tone |
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Definition
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Term
| What are 4 signs that help to distinguish the origin of a patient pain |
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Definition
| centralization, segmental pain provoction, neurodynamic signs, muscle palpation signs |
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Term
| This examination involves moving the spine to end range in various directions and monitoring the mechanical symptomatic response to these movements |
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Definition
| McKenzie Centralization technique |
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Term
| What sign involves the clinician attempting to reproduce the patients pain by application of maneuvers designed to stress segmental tissues |
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Definition
| segemtnal pain provocation |
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Term
| How do you test for segmental pain provocation? |
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Definition
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Term
| what sign involves the reproduction of pain resulting from tests designed to apply stress to neural structures |
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Definition
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Term
| what are the most common causes of neurodynamic pain |
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Definition
| lateral canal stenosis and disc protrusion |
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Term
| What is the key factor for muscle palpation findings? |
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Definition
| Knowing pain referral maps and comparing to the pain described by the patient |
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Term
| Perpetuation of spinal pain with a person with fear will have |
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Definition
| dynamic instability (impaired motor control) |
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Term
| Perpetuation of spinal pain with a person with a catastrophizing event will have |
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Definition
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Term
| Perpetuation of spinal pain with person who is passively coping or dealing with depression will have |
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Definition
| central pain hypersensitivity |
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Term
| ___is a state in which an alteration has occurred in the manner in which nociceptive information is received, processed and modulated, which serves to heighten the pain experience |
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Definition
| central pain hypersensitivity |
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Term
| increased pain sensitivity and decreased pain thresholds have been found in patients with |
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Definition
| chronic neck, low back, & headache |
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Term
| What is a procedure that is developed to identify behavioral components in LBP |
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Definition
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Term
| patients with chronic neck pain after trauma and in patients with chronic tension type head- ache are seen in |
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Definition
| oculomotor trauma patients |
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Term
| What can contribute to present disability and future disability and can be measured in the clinic |
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Definition
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Term
| how do you measure depression |
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Definition
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Term
| segmental provocation signs and significant fear beliefs rule out |
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Definition
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Term
| impaired motor control and CPH are |
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Definition
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Term
| segmental pain provocation signs and neurodynamic signs, fear, and catastrophizing events rule out |
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Definition
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Term
| what is the management strategy for a person with a visceral disorder |
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Definition
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Term
| What is the management strategies for a person with centralized issues |
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Definition
loading stretches and strengthening
flexion distraction (disc) |
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Term
| What is the best option of management for patients with segmental provocation signs with/without centralization |
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Definition
end range loading first
centralization only utilized after end range loading does not work |
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Term
| what is the last form of treatment with patients with segmental provocation signs |
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Definition
| radiofrequency denervation |
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Term
| In the acute stage ___ is thought to be largely chemical due to inflammation |
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Definition
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Term
| In the chronic stage of disc herniation what is the first line of approach |
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Definition
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Term
| what are the 2 categories of spinal pain |
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Definition
| specific and non specific |
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Term
| spinal pain that can be diagnosed pathoanatomical |
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Definition
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Term
| spinal pain from a source that can be non anatomical |
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Definition
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Term
| what is the system to identify surgical vs non surgical |
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Definition
| quebec task force and mckenzie |
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Term
| Delitto classifies patients with spinal pain into what four categories |
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Definition
1. mobilization
2. immobilization
3. Specific exercise
4. traction |
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