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Block Introduction/Differential Diagnosis of Spinal Conditions
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Possible Serious Spine Pathology: Red Flags
Traumatic
Neoplastic
Infectious
Inflammatory
Spinal tumors can be
ruled out
if the patient is:
> 50 years old
No general health changes (i.e. unexplained weight loss)
No h/o CA
Responding to conservative intervention
Postural Syndrome
Normal tissues abnormally strained for a period of time
SR requires a time element, usually at least several minutes in the abnormal position
Dysfunction Syndrome
Tissues are tight
SR occurs only at end range of the tight tissue
Derangement Syndrome
The normal alignment of the articular surface is disrupted
SR occur at multiple points throughout the range
Centralization & peripheralization of symptoms only occur in a derangement
Non-Organic Signs
Distraction
: significant decrease in pain behavior when patient is unaware they are being observed
Regional disturbances
: weakness/sensory loss that does not conform to neuroanatomical explanation
Simulation
: sham provocation tests cause pain despite not stressing tissues
Tenderness
: in a non-anatomic pattern
Over-reaction
: to provoked pain
Author
dmshaw9
ID
255566
Card Set
Block Introduction/Differential Diagnosis of Spinal Conditions
Description
MS2
Updated
2/13/2014, 4:05:12 PM
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