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15 Cards in this Set
- Front
- Back
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Definition acute lumbar strain
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- Injury on waist muscle and their fasciae
- Also known as flash waist |
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Character of pain acute lumbar strain
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- Patient unable to move or turn body in bed
- Pain is persitent - Can be unbearable with movement limited in am - Worse w activity, cough, BM, loud speech, deep breathing - Pn NOT eliminated after break |
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Manifestations acute lumbar strain?
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- Pt. may have hx or sudden onset with hx of injury
- Pt. unable to move or turn body in bed - Pn persistent - Limited movement in morning aggravated cough, speak, deep breath - Pn not eliminated with break |
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TCM Etiology/Pathology acute lumbar strain
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- Qi & Bloos stagnation
- LV/KD Xu |
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Physical exam acute lumbar sprain
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- Superficial tender points on back
- No radiation - Spinal deviation may be found later stage |
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Muscle fascia or ligaments more chronic?
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- Ligaments
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Pain location trauma sacrospinal muscle or lumbodorsal fascia?
Important to know location of pain |
- Tender points located both sides of vertebra
- Around HTJJ area |
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Pain location supraspinous ligament or inter spinal ligament
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- Tender points on mid spinal line
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Pain location 5th lumbar process
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- Iliolumbar ligament
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Location of pain when muscles spasming?
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Sacrospinal muscle and gluteus maximus
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Where does acute strain of back normally occur?
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At L3
- Longest - Not attached to any ribs - Transverse process the longest |
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Treatment principles acute lumbar sprain?
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- Relax and prevent adhesion of tendons
- Move blood, stop pain |
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How do you differentiate between sciatic pain and acute lumbar strain
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- Sciatic pain must have radiation, pass the knee
- Pn doesn't pass knee, may not be sciatic pain |
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Location of Gou Pang Xue
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- 1 cm bilateral to DU 26
- Thread needle |
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Location Shan Yao Xue
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- Between UB 57 & UB 60
- Half way, find tender spot - Press hard until patient sweats |
