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19 Cards in this Set
- Front
- Back
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how does a rotator cuff injury present? |
inability to flex or abduct the shoulder
pain worst at night when lying on the affected shoulder |
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where can you usually palpate severe tenderness |
insertion of the supraspinatus (most commonly injured rotator cuff muscle) |
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most accurate test to dx rotator cuff tear or injury |
MRI |
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what is the mgmt of rotator cuff injuries/ |
start wtih rest, NSAIDs and PT
if these do not help then you can get an MRI (unless you're absolutely sure it could be a complete tear)
if the MRI shows a tear then surgical correction is needed |
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pain in front of the knee, underneatht eh patella that is worst when walking up or down stairs |
patellofemoral pain syndrome |
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3 causes of PFP |
meniscal tear trauma imbalance of quads strength |
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When are the symptoms often the worst with PFP? |
when you first get after having stayed sitting for some time |
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does the pain get worse or better with walking? |
better |
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what does X ray show for PFP? |
nothing, it's normal |
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What can you see on physical exam of PFP syndrome? |
crepitus, joint locking, instability etc. |
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mgmt of PFP syndrome |
think PT-focused
most of these cases will respond to strengthening the muscles involved through cycling exercises. |
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do knee braces help PFP? |
no |
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is there anythign surgical to do for PFP? |
no |
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severe pain in the bottom of the foot near the calcaneus |
plantar fasciitis |
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what causes plantar fasciitis? |
unknown, nothing clearly precipitates it |
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when is pain worst for plantar fasciitis? |
the morning, should improve some with walking a few steps |
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how do you distinguish plantar fasciitis from tarsal tunnel syndrome? |
tarsal tunnel syndrome tends to worsen with activity but plantar fasciitis improves with activity |
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mgmt of plantar fasciitis |
stretching exercises arch support NSAIDs |
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next step would be... |
steroid injections |
