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15 Cards in this Set
- Front
- Back
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what is myofascial pain?
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localised deep and aching MSK pain and tenderness in association with trigger points
may be accompanied by a burning sensation |
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Causes of myofascial pain?
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may follow trauma, overuse, or prolonged static contraction of a mm or mm group, which may occur when reading or writing at a desk or working at a computer
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What are the clinical features of radiculopathy?
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mm weakness and wasting and dermatoma sensory loss with reflex changes that reflect the pattern of the root involved
pain is usually a prominent feature |
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Which nerve root (radiculopathy) is involved in pain, paraesthesia and sensory loss in the inguinal region?
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L1
Rare to have lumbar disc herniation at L1 - L1 radiculopathy uncommon |
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Which nerve root is involved in back pain that radiates down the lateral aspect of the leg into the foot
Reduced foot dorsiflexion |
L5
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Which nerve root is involved in plantar flexion and the ankle reflex
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S1
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Which nerve root is involved in pain down the posterior aspect of the leg into the foot from the back
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S1
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What is the most common radiculopathy affecting the lumbosacral spine?
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L5
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L2/L3/L4 are difficult to differentiate. What would a radiculopathy of one of these present like?
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Femoral nerve
weak hip flexion and knee extension obturator nerve weak hip adductors |
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If someone presents with sacral or buttock pain radiating down the posterior aspect ot fhe leg or into the perineum
+ urinary and fecal incontinence Some sexual dysfunction Which nerve root/s are involved? |
S2/S3/S4
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Which dermatome supplies the big toe?
Little toe? |
Big toe - L5
Little toe - S1 |
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Clinical features of the cauda equina syndrome?
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bilateral leg weakness in multiple nerve root distributions
perineal sensory bowel, ladder, sexual dysfunction due to involvement of S2-4 spinal roots |
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Are systemic and epidural steroids indicated in radiculopathy?
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Systemic - NO- Provide no benefit
Epidural - provide modest transient benefit for < 3 months |
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What effect does L5 have on the ankle and big toe?
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ankle dorsiflexion
Big toe extension |
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Which bony sites are most common for metastatic cancer?
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Order of most common
Vertebrae Proximal femur Pelvis Ribs Sternum Proximal humerus Skull |
