1. Signs and symptoms and
management of musculoskeletal
sprains/strains/dislocations
Signs and symptoms and management of musculoskeletal
sprains/strains/dislocations
Sprains: stretching or tearing of ligaments that
...
1. Signs and symptoms and
management of musculoskeletal
sprains/strains/dislocations
Signs and symptoms and management of musculoskeletal
sprains/strains/dislocations
Sprains: stretching or tearing of ligaments that occurs when a joint is forced
beyond its normal anatomical range
First degree- stretching of ligamentous fibers
Second degree- tear of part of the ligament with pain and swelling
Third degree- complete ligamentous separation
Sprain- sudden injury or fall that caused acute pain and swelling that got
worse over a few hours, redness and bruising, active and passive ROM
decreased. Radiography to rule out fx.
Strain: muscle injury caused by excessive tensile stress placed on a muscle
that results in stiffness and decreased function
-effects muscle or tendon that connects a muscle to a bone, complain
of “pulled muscle,” severe cases cause inflammation, swelling, weakness and
loss of function-surgery may be needed
Management: PRICE (protect, rest, ice, compression, elevation), limitation of
activity, physical therapy, NSAIDS, referral to ortho
Dislocation- complete separation of 2 bones that form a joint
Very painful and cause immobility, need immediate medical attention
Referral to orthopedics for possible surgery or reduction with
application of cast or splint.
2. Signs and symptoms and
management of spinal disorders
(spondylosis, stenosis, etc.)
Cervical Spondylosis- neck stiffness, mild aching discomfort with activity. Pain
and limited ROM occur with lateral rotation and lateral flexion of the neck
toward the affected side. Weakness shoulder abduction- C5. Bicep weakness-
C6. Tricep weakness-C7.Myelopathy- leg weakness, gait disturbance, balance
problems, difficulty performing fine motor tasks, loss of bowel and bladder.
Treatment- cervical traction, PT, pain relievers. Surgery for Myelopathy.
Low back pain-Tenderness and decreased range of motion. Positive straight
leg test. Treatment-NSAIDS, muscle relaxants, opioids, surgical, self-care,
spinal manipulation
Stenosis-pseudoclaudication causing radicular pain in the calves, buttocks, and
upper thighs of one or both legs. Symptoms progress from a proximal to distal
direction. Walking or prolonged standing causes pain and weakness in
buttocks and legs. Stooping over helps relieve pain. Positive Romberg.
Reflexes diminished. Management- surgical decompression. NSAIDS, folic acid,
vitamin b12. PT-flexing the spine.Bicycling.
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