Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding common upper and Lower extrimity disorders, and its management. Highly recommended for II B.Sc Nursing Students.
Plantar fasciitis is an inflammation of the plantar fascia in the foot that causes heel pain. It is caused by overuse from activities like long-distance running or tight calf muscles limiting the foot's range of motion. Symptoms include pain, swelling, and warmth in the heel area. Conservative treatments include stretching exercises, orthotics, night splints, taping, and manual therapies to increase flexibility and support the arch. Treatment may last several months to two years and surgery is an option for severe cases that do not improve.
Tennis leg, or rupture of the medial head of the gastrocnemius muscle, is commonly seen in tennis players and other athletes involving running and jumping. It occurs due to forced dorsiflexion of the ankle while the knee is extended. Clinically, it presents with a sudden "pop" in the calf followed by pain and swelling. Treatment involves RICE initially followed by rehabilitation depending on the grade of tear, ranging from stretching and strengthening exercises for grade 1, to immobilization and surgery for grade 3 tears. Proper rehabilitation is important to prevent recurrence and allow a full return to activity.
This document discusses tennis elbow, which involves pain on the outside of the elbow where the forearm muscles and tendons attach. Common causes include repetitive motions like cooking or playing racquet sports. Symptoms include pain when shaking hands or gripping objects that is worsened by wrist movements. While X-rays are not usually diagnostic, clinical tests like the Cozen or Mill tests can help diagnose. Conservative treatments include rest, NSAIDs, ice, braces and physiotherapy to strengthen the area. Corticosteroid injections combined with lidocaine can help reduce pain and inflammation. Platelet rich plasma injections are also sometimes used but results are still controversial.
This document discusses tenosynovitis, including its definition, etiology, prognosis, pathophysiology, history, physical examination findings, workup, treatment, and postoperative care. Tenosynovitis is inflammation of the tendon sheath that can be caused by overuse, infection, or inflammatory conditions like rheumatoid arthritis. Physical exam may reveal tenderness, swelling, or limited range of motion. Treatment depends on the cause but may include rest, splinting, anti-inflammatories, corticosteroid injections, or surgery. Prognosis is generally good if treated early without comorbidities, while complications can include adhesion formation or tendon rupture if left untreated.
Plantar fasciitis is a painful inflammatory condition of the plantar fascia in the sole of the foot, often caused by overuse. It commonly causes heel pain with the first steps in the morning or after periods of rest. Treatment focuses on reducing inflammation, stretching the fascia, and supporting the arch through various physical therapies, orthotics, and in severe cases, corticosteroid injections or surgery.
Tennis elbow and golfer's elbow are forms of elbow tendinitis caused by overuse and repetitive strain on the tendons in the forearm. Tennis elbow involves the tendons on the outside of the elbow and is more common, while golfer's elbow affects the inner tendons. Both result from repetitive motions like swinging, gripping, or flexing and can be treated with rest, anti-inflammatories, bracing, and physical therapy.
This document provides an overview of tennis elbow (lateral epicondylitis). It describes tennis elbow as an overuse injury of the forearm muscles originating at the lateral epicondyle of the elbow. Common causes are repetitive gripping and wrist extension motions from activities like tennis. Symptoms include pain over the lateral elbow that is worsened by resisted wrist extension. Conservative treatments include bracing, ultrasound therapy, and corticosteroid injections. Surgery is considered if conservative treatments fail after 6 weeks and for those with persistent, severe pain. The document covers evaluation, differential diagnosis, stages of the condition, clinical tests, imaging findings, and various treatment approaches for tennis elbow.
Plantar fasciitis is an inflammation of the plantar fascia in the foot that causes heel pain. It is caused by overuse from activities like long-distance running or tight calf muscles limiting the foot's range of motion. Symptoms include pain, swelling, and warmth in the heel area. Conservative treatments include stretching exercises, orthotics, night splints, taping, and manual therapies to increase flexibility and support the arch. Treatment may last several months to two years and surgery is an option for severe cases that do not improve.
Tennis leg, or rupture of the medial head of the gastrocnemius muscle, is commonly seen in tennis players and other athletes involving running and jumping. It occurs due to forced dorsiflexion of the ankle while the knee is extended. Clinically, it presents with a sudden "pop" in the calf followed by pain and swelling. Treatment involves RICE initially followed by rehabilitation depending on the grade of tear, ranging from stretching and strengthening exercises for grade 1, to immobilization and surgery for grade 3 tears. Proper rehabilitation is important to prevent recurrence and allow a full return to activity.
This document discusses tennis elbow, which involves pain on the outside of the elbow where the forearm muscles and tendons attach. Common causes include repetitive motions like cooking or playing racquet sports. Symptoms include pain when shaking hands or gripping objects that is worsened by wrist movements. While X-rays are not usually diagnostic, clinical tests like the Cozen or Mill tests can help diagnose. Conservative treatments include rest, NSAIDs, ice, braces and physiotherapy to strengthen the area. Corticosteroid injections combined with lidocaine can help reduce pain and inflammation. Platelet rich plasma injections are also sometimes used but results are still controversial.
This document discusses tenosynovitis, including its definition, etiology, prognosis, pathophysiology, history, physical examination findings, workup, treatment, and postoperative care. Tenosynovitis is inflammation of the tendon sheath that can be caused by overuse, infection, or inflammatory conditions like rheumatoid arthritis. Physical exam may reveal tenderness, swelling, or limited range of motion. Treatment depends on the cause but may include rest, splinting, anti-inflammatories, corticosteroid injections, or surgery. Prognosis is generally good if treated early without comorbidities, while complications can include adhesion formation or tendon rupture if left untreated.
Plantar fasciitis is a painful inflammatory condition of the plantar fascia in the sole of the foot, often caused by overuse. It commonly causes heel pain with the first steps in the morning or after periods of rest. Treatment focuses on reducing inflammation, stretching the fascia, and supporting the arch through various physical therapies, orthotics, and in severe cases, corticosteroid injections or surgery.
Tennis elbow and golfer's elbow are forms of elbow tendinitis caused by overuse and repetitive strain on the tendons in the forearm. Tennis elbow involves the tendons on the outside of the elbow and is more common, while golfer's elbow affects the inner tendons. Both result from repetitive motions like swinging, gripping, or flexing and can be treated with rest, anti-inflammatories, bracing, and physical therapy.
This document provides an overview of tennis elbow (lateral epicondylitis). It describes tennis elbow as an overuse injury of the forearm muscles originating at the lateral epicondyle of the elbow. Common causes are repetitive gripping and wrist extension motions from activities like tennis. Symptoms include pain over the lateral elbow that is worsened by resisted wrist extension. Conservative treatments include bracing, ultrasound therapy, and corticosteroid injections. Surgery is considered if conservative treatments fail after 6 weeks and for those with persistent, severe pain. The document covers evaluation, differential diagnosis, stages of the condition, clinical tests, imaging findings, and various treatment approaches for tennis elbow.
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint that limits range of motion. It involves thickening and scarring of the shoulder joint capsule. Treatment involves conservative measures like oral anti-inflammatory drugs, corticosteroid injections into the joint, physical therapy including heat therapy and gentle range of motion exercises, and manipulation under anesthesia for refractory cases. Physical therapy aims to reduce pain and inflammation in the early stage and increase mobility in the stiffening stage through heat, passive range of motion, and home exercises.
Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can.
Tennis elbow, also known as lateral epicondylitis, is a tendinopathy of the extensor tendons of the forearm caused by repetitive strain from activities like tennis or manual labor. It presents as lateral elbow pain that is exacerbated by wrist extension movements. While the name suggests it is caused by tennis, 95% of cases occur in non-tennis players engaged in repetitive arm motions. Treatment begins conservatively with rest, ice, braces, and physical therapy, while corticosteroid injections provide temporary pain relief. Surgery is considered if conservative measures fail after 6-12 months.
Tendonitis details and it's physiotherapy management.
It is define as inflammation of the tendon, tendonitis occur due to overuse and trauma. Depending upon involvement of tendon special test are used. it is treated with PRICE protocol.
Limb-length discrepancy can be caused by structural, functional, or environmental factors that result in one leg being longer or shorter than the other. Symptoms of discrepancy include an awkward gait, back pain, and compensatory scoliosis. Discrepancies are classified as mild (<3cm), moderate (3-6cm), or severe (>6cm). Treatment depends on the magnitude of discrepancy and may include shoe lifts for mild cases, growth modulation for moderate, and limb lengthening or shortening surgery for severe discrepancies. The goal of treatment is to alleviate symptoms and prevent long-term complications.
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel of the wrist. Diagnostic tests like nerve conduction velocity tests, ultrasonography, and x-rays can help diagnose CTS. Treatment includes NSAIDs, muscle relaxants, calcium supplements, physiotherapy like heat/cold, ultrasound, TENS, stretching and strengthening exercises, and night splints. Surgery to decompress the median nerve through open or endoscopic carpal tunnel release is more effective than other treatments for long-term relief of CTS. Prevention focuses on reducing hand stress, taking breaks, keeping a neutral wrist position, and maintaining good overall health.
Olecranon bursitis is an inflammation of the bursa located over the point of the elbow. It can be caused by direct trauma, repetitive rubbing on hard surfaces, or underlying conditions like gout or rheumatoid arthritis. Acute cases present as a tender, fluid-filled swelling while chronic cases appear as a painless swelling. Treatment involves rest, ice, compression, and anti-inflammatory medications. Septic bursitis requires antibiotics while surgery may be needed for cases that do not improve with conservative care.
Bursitis and tendinitis are conditions involving inflammation of soft tissues like bursae and tendons around joints. They are commonly caused by overuse or repetitive motions. Symptoms include pain in areas like the shoulder, elbow, wrist, hip, knee or ankle. Diagnosis involves medical history, exams, and sometimes imaging tests. Treatment focuses on rest, anti-inflammatory medications, physical therapy, and corticosteroid injections if needed. Prevention emphasizes warming up, strengthening, taking breaks, and gradually increasing activity levels.
Genu varum, also known as bow legs, is a physical deformity where the legs curve outward from the thighs. It can occur in children due to normal development or due to conditions like Blount's disease or rickets that affect bone growth. In children, genu varum is often monitored and may resolve on its own, while more severe cases or those caused by underlying diseases may require bracing or surgery to correct alignment and prevent long-term issues. Surgical options aim to stop abnormal bone growth or reshape the shinbone to straighten the legs.
Tennis Elbow(lateral epicondylitis) is a degenerative condition characterized by painful wrist extension or pain on performing backhand strokes in tennis shots.
This ppt contains an overall description of this condition with proper evidence and conservative and physiotherapy management for this condition.
Exercise tolerance testing involves monitoring a patient's cardiovascular response to exercise by observing heart rate, blood pressure, and electrocardiogram. It is used to evaluate patients with suspected ischemic heart disease who have stable chest pain symptoms. The test follows standardized protocols that gradually increase workload and monitors the patient's physiological measures at set intervals during rest, exercise, and recovery periods. Contraindications and safety precautions are considered to ensure the test can be completed safely.
De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist caused by inflammation of the tendon sheaths of the abductor pollicis longus and extensor pollicis brevis tendons. It often affects women ages 30-50 and is caused by repetitive motions of the thumb like gripping. Symptoms include pain on the radial side of the wrist worsened by ulnar deviation and thumb movement. Diagnosis is based on tenderness over the tendon sheaths and a positive Finkelstein's test. Most cases are treated conservatively with splinting, activity modification and anti-inflammatories while surgery is reserved for persistent cases.
This document discusses gamekeeper's thumb, which is a chronic injury to the ulnar collateral ligament of the thumb metacarpophalangeal joint. It can occur in gamekeepers from forcefully extending animal's necks or in skiers from falls onto an outstretched hand. The injury ranges from partial tears of the ligament to complete ruptures, which may involve an interposed tissue fragment that prevents healing. Treatment involves splinting for partial tears or surgical repair for complete tears, ideally within 3 weeks for best results.
This document contains an orthopaedic assessment form with sections for subjective and objective information. The subjective section includes the patient's history and chief complaint. The objective section documents vital signs, physical exam findings including range of motion tests and muscle strength tests, and sensory and reflex assessments. The objective findings will be used to inform the assessment and plan.
Olecranon bursitis is an inflammation of the bursa located over the tip of the elbow bone. It is usually caused by repeated minor trauma from leaning or resting on the elbow. Symptoms include swelling at the back of the elbow that may be painful with pressure or movement. Physical therapy focuses on reducing pain and swelling, improving range of motion and strength through exercises and modalities like ice and compression. Resting the elbow and avoiding aggravating activities is also recommended to prevent recurrence.
Cervical spondylosis is a degenerative condition affecting the bones and discs in the neck. It usually appears in people over age 40 and progresses with age. Common symptoms include neck pain and stiffness that worsens over time and may radiate to the shoulders and arms. Treatment focuses on relieving pain and preventing injury, and may include neck braces, exercises, medication, injections, or surgery for severe cases. Risk factors include aging and previous neck injuries.
Carpal Tunnel Syndrome (CTS) is caused by compression of the median nerve as it passes through the carpal tunnel of the wrist. Symptoms include numbness, tingling, and pain in the hand and fingers. CTS is often caused by repetitive wrist motions that increase pressure in the carpal tunnel. Treatment includes splinting the wrist at night, exercises to improve flexibility, manual therapy to reduce pressure on the median nerve, and electroacupuncture. Studies show electroacupuncture combined with night splinting provides better relief of symptoms than splinting alone. Performing flexibility and nerve gliding exercises in a supine position may further reduce pressure and symptoms compared to other positions. Fascial manipulation techniques targeting specific
This present power point presentation on soft tissue conditions, is an orthopedic topic useful for a quick glance of the conditions mostly of UL and LL. Physiotherapists and other health professionals will be benefited.
Cumulative trauma injuries refer to musculoskeletal injuries that develop over time due to repetitive minor injuries or overuse of body parts. Examples include carpal tunnel syndrome, tennis elbow, trigger finger, and hand-arm vibration syndrome. These injuries often develop in workers who perform repetitive tasks and motions. Treatment may involve rest, splinting, anti-inflammatory medication, corticosteroid injections, physiotherapy, or surgery depending on the injury and its severity. Many cumulative trauma injuries are accepted as compensable occupational health issues.
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint that limits range of motion. It involves thickening and scarring of the shoulder joint capsule. Treatment involves conservative measures like oral anti-inflammatory drugs, corticosteroid injections into the joint, physical therapy including heat therapy and gentle range of motion exercises, and manipulation under anesthesia for refractory cases. Physical therapy aims to reduce pain and inflammation in the early stage and increase mobility in the stiffening stage through heat, passive range of motion, and home exercises.
Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can.
Tennis elbow, also known as lateral epicondylitis, is a tendinopathy of the extensor tendons of the forearm caused by repetitive strain from activities like tennis or manual labor. It presents as lateral elbow pain that is exacerbated by wrist extension movements. While the name suggests it is caused by tennis, 95% of cases occur in non-tennis players engaged in repetitive arm motions. Treatment begins conservatively with rest, ice, braces, and physical therapy, while corticosteroid injections provide temporary pain relief. Surgery is considered if conservative measures fail after 6-12 months.
Tendonitis details and it's physiotherapy management.
It is define as inflammation of the tendon, tendonitis occur due to overuse and trauma. Depending upon involvement of tendon special test are used. it is treated with PRICE protocol.
Limb-length discrepancy can be caused by structural, functional, or environmental factors that result in one leg being longer or shorter than the other. Symptoms of discrepancy include an awkward gait, back pain, and compensatory scoliosis. Discrepancies are classified as mild (<3cm), moderate (3-6cm), or severe (>6cm). Treatment depends on the magnitude of discrepancy and may include shoe lifts for mild cases, growth modulation for moderate, and limb lengthening or shortening surgery for severe discrepancies. The goal of treatment is to alleviate symptoms and prevent long-term complications.
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel of the wrist. Diagnostic tests like nerve conduction velocity tests, ultrasonography, and x-rays can help diagnose CTS. Treatment includes NSAIDs, muscle relaxants, calcium supplements, physiotherapy like heat/cold, ultrasound, TENS, stretching and strengthening exercises, and night splints. Surgery to decompress the median nerve through open or endoscopic carpal tunnel release is more effective than other treatments for long-term relief of CTS. Prevention focuses on reducing hand stress, taking breaks, keeping a neutral wrist position, and maintaining good overall health.
Olecranon bursitis is an inflammation of the bursa located over the point of the elbow. It can be caused by direct trauma, repetitive rubbing on hard surfaces, or underlying conditions like gout or rheumatoid arthritis. Acute cases present as a tender, fluid-filled swelling while chronic cases appear as a painless swelling. Treatment involves rest, ice, compression, and anti-inflammatory medications. Septic bursitis requires antibiotics while surgery may be needed for cases that do not improve with conservative care.
Bursitis and tendinitis are conditions involving inflammation of soft tissues like bursae and tendons around joints. They are commonly caused by overuse or repetitive motions. Symptoms include pain in areas like the shoulder, elbow, wrist, hip, knee or ankle. Diagnosis involves medical history, exams, and sometimes imaging tests. Treatment focuses on rest, anti-inflammatory medications, physical therapy, and corticosteroid injections if needed. Prevention emphasizes warming up, strengthening, taking breaks, and gradually increasing activity levels.
Genu varum, also known as bow legs, is a physical deformity where the legs curve outward from the thighs. It can occur in children due to normal development or due to conditions like Blount's disease or rickets that affect bone growth. In children, genu varum is often monitored and may resolve on its own, while more severe cases or those caused by underlying diseases may require bracing or surgery to correct alignment and prevent long-term issues. Surgical options aim to stop abnormal bone growth or reshape the shinbone to straighten the legs.
Tennis Elbow(lateral epicondylitis) is a degenerative condition characterized by painful wrist extension or pain on performing backhand strokes in tennis shots.
This ppt contains an overall description of this condition with proper evidence and conservative and physiotherapy management for this condition.
Exercise tolerance testing involves monitoring a patient's cardiovascular response to exercise by observing heart rate, blood pressure, and electrocardiogram. It is used to evaluate patients with suspected ischemic heart disease who have stable chest pain symptoms. The test follows standardized protocols that gradually increase workload and monitors the patient's physiological measures at set intervals during rest, exercise, and recovery periods. Contraindications and safety precautions are considered to ensure the test can be completed safely.
De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist caused by inflammation of the tendon sheaths of the abductor pollicis longus and extensor pollicis brevis tendons. It often affects women ages 30-50 and is caused by repetitive motions of the thumb like gripping. Symptoms include pain on the radial side of the wrist worsened by ulnar deviation and thumb movement. Diagnosis is based on tenderness over the tendon sheaths and a positive Finkelstein's test. Most cases are treated conservatively with splinting, activity modification and anti-inflammatories while surgery is reserved for persistent cases.
This document discusses gamekeeper's thumb, which is a chronic injury to the ulnar collateral ligament of the thumb metacarpophalangeal joint. It can occur in gamekeepers from forcefully extending animal's necks or in skiers from falls onto an outstretched hand. The injury ranges from partial tears of the ligament to complete ruptures, which may involve an interposed tissue fragment that prevents healing. Treatment involves splinting for partial tears or surgical repair for complete tears, ideally within 3 weeks for best results.
This document contains an orthopaedic assessment form with sections for subjective and objective information. The subjective section includes the patient's history and chief complaint. The objective section documents vital signs, physical exam findings including range of motion tests and muscle strength tests, and sensory and reflex assessments. The objective findings will be used to inform the assessment and plan.
Olecranon bursitis is an inflammation of the bursa located over the tip of the elbow bone. It is usually caused by repeated minor trauma from leaning or resting on the elbow. Symptoms include swelling at the back of the elbow that may be painful with pressure or movement. Physical therapy focuses on reducing pain and swelling, improving range of motion and strength through exercises and modalities like ice and compression. Resting the elbow and avoiding aggravating activities is also recommended to prevent recurrence.
Cervical spondylosis is a degenerative condition affecting the bones and discs in the neck. It usually appears in people over age 40 and progresses with age. Common symptoms include neck pain and stiffness that worsens over time and may radiate to the shoulders and arms. Treatment focuses on relieving pain and preventing injury, and may include neck braces, exercises, medication, injections, or surgery for severe cases. Risk factors include aging and previous neck injuries.
Carpal Tunnel Syndrome (CTS) is caused by compression of the median nerve as it passes through the carpal tunnel of the wrist. Symptoms include numbness, tingling, and pain in the hand and fingers. CTS is often caused by repetitive wrist motions that increase pressure in the carpal tunnel. Treatment includes splinting the wrist at night, exercises to improve flexibility, manual therapy to reduce pressure on the median nerve, and electroacupuncture. Studies show electroacupuncture combined with night splinting provides better relief of symptoms than splinting alone. Performing flexibility and nerve gliding exercises in a supine position may further reduce pressure and symptoms compared to other positions. Fascial manipulation techniques targeting specific
This present power point presentation on soft tissue conditions, is an orthopedic topic useful for a quick glance of the conditions mostly of UL and LL. Physiotherapists and other health professionals will be benefited.
Cumulative trauma injuries refer to musculoskeletal injuries that develop over time due to repetitive minor injuries or overuse of body parts. Examples include carpal tunnel syndrome, tennis elbow, trigger finger, and hand-arm vibration syndrome. These injuries often develop in workers who perform repetitive tasks and motions. Treatment may involve rest, splinting, anti-inflammatory medication, corticosteroid injections, physiotherapy, or surgery depending on the injury and its severity. Many cumulative trauma injuries are accepted as compensable occupational health issues.
Work Related Musculoskeletal Disorders.pptBishalBista12
The document describes various common work-related musculoskeletal disorders (MSDs) of the upper extremities. It discusses carpal tunnel syndrome, caused by swelling of the flexor tendons in the carpal tunnel, resulting in median nerve impairment and symptoms like numbness and tingling in the fingers. It also discusses cubital tunnel syndrome, thoracic outlet syndrome, Raynaud's syndrome, and rotator cuff syndrome - each caused by compression or irritation of specific nerves or tendons from repetitive motions or vibrations. The document provides details on symptoms for each condition.
This document discusses work-related musculoskeletal disorders (WMSDs) of the elbow. It defines WMSDs as injuries or disorders of the muscles, tendons, and joints caused by repetitive strain from manual labor tasks. Common WMSDs of the elbow mentioned include lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow), cubital tunnel syndrome, bursitis, tendinitis of the distal bicep and triceps, and pronator teres syndrome. Risk factors include excessive force, awkward postures, repetition, direct pressure, vibration, and non-occupational factors like fitness level. Symptoms may include pain, numbness, swelling, and loss of flexibility
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. Symptoms include numbness, tingling, and pain in the thumb, index, and middle fingers. It is often caused by repetitive hand motions or improper wrist positioning. Treatment options range from wrist splints and anti-inflammatory medications to corticosteroid injections and carpal tunnel release surgery. Preventive measures include proper ergonomics, stretching, and taking breaks from repetitive tasks.
This document discusses various musculoskeletal conditions seen in orthopedic practice including osteoarthritis, rheumatoid arthritis, trigger finger, tennis elbow, ganglion cysts, fractures, and low back pain. For each condition, it provides details on symptoms, causes, diagnostic approach and treatment options. Non-surgical treatments discussed include medications, bracing, exercise, and physical therapy. Surgical interventions like injections, arthroscopy and joint replacement are mentioned for more severe cases.
This document discusses regional rheumatic pain syndromes, focusing on disorders of the shoulder, elbow, wrist, hand, and hip regions. It provides details on the causes, presentations, evaluations, and treatment approaches for common conditions in each area, including rotator cuff tendinitis, lateral epicondylitis, carpal tunnel syndrome, trigger finger, and trochanteric bursitis. Evaluation involves history, physical exam maneuvers like impingement tests, and sometimes imaging like MRI. Treatment consists of rest, physical therapy, braces, NSAIDs, steroid injections, and possibly surgery for more severe cases.
This document discusses carpal tunnel syndrome, including:
1. It provides an overview of carpal tunnel syndrome, defining it as pressure on the median nerve in the wrist that causes numbness, tingling, weakness, or muscle damage in the hand and fingers.
2. Risk factors include repetitive wrist motions, obesity, arthritis, and diabetes. Symptoms include numbness, tingling, and pain that is worse at night. Diagnosis involves physical exams and nerve conduction tests.
3. Treatment begins with splinting, medications, injections, and physical therapy. Surgery to cut the transverse carpal ligament may be considered if more conservative treatments fail.
1. The document summarizes common hand ailments that ceramicists may experience such as tendonitis, neuropathy, and arthritis which can result from repetitive motions.
2. Specific conditions discussed include carpal tunnel syndrome, trigger finger, and arthritis at the base of the thumb.
3. The presentation emphasizes prevention through stretches and breaks, and explores treatment options ranging from conservative measures to surgery.
This document discusses musculoskeletal complications that are more common or specific to diabetes mellitus. It begins by introducing increased risks of metabolic changes, microvascular abnormalities, and extracellular matrix accumulation in connective tissues in diabetes. Specific conditions that are then discussed in more detail include: 1) cheiroarthropathy (stiff hand syndrome), 2) trigger finger, 3) Dupuytren's contracture, 4) carpal tunnel syndrome, 5) adhesive capsulitis (frozen shoulder), 6) Charcot's arthropathy, and 7) diabetic muscle infarction. Treatment options are provided for several of these conditions. Other diseases like diffuse idiopathic skeletal hyperostosis that are associated with increased risk in diabetes are also briefly mentioned.
A 40-year-old female presented with pain and swelling in her left arm and itching all over her body for 5 days. She was diagnosed with cellulitis and tenosynovitis in her left hand based on physical exam findings and investigations. She was treated with IV and IM antibiotics, analgesics, antacids, anticoagulants, and oral antidiabetic and steroidal medications. Upon discharge, she was advised to follow-up after 1 week while continuing several oral medications including antibiotics, analgesics, and steroids. The pharmacist noted a potential drug interaction between the diclofenac and prednisolone prescribed and recommended monitoring for bleeding risks.
rheumatological manifestations of systemic diseases- diabetesvinmmcri
1) Rheumatic manifestations of diabetes mellitus are common and include limited joint mobility syndrome, Dupuytren's contracture, trigger finger, carpal tunnel syndrome, adhesive capsulitis, Charcot neuroarthropathy, and diabetic muscle infarction.
2) These disorders are caused by nonenzymatic glycation of collagen and changes in collagen metabolism due to diabetes-related microvascular complications.
3) Early identification of rheumatic manifestations in diabetes can help facilitate management and serve as a marker for poor glycemic control and other microvascular complications.
A number of periarticular disorders have become increasingly common over the past two to three decades, due in part to greater participation in recreational sports by individuals of a wide range of ages. Periarticular disorders most commonly affect the knee or shoulder. With the exception of bursitis, hip pain is most often articular or is being referred from disease affecting another structure.
ulnar Entrapment Neuropathy and double crush syndromeHome~^^
Nerve entrapment occurs when a nerve becomes compressed as it travels through tight spaces in the body. The ulnar nerve is commonly entrapped at the elbow, where it passes through the cubital tunnel, or at the wrist in Guyon's canal. Symptoms include numbness, tingling, and weakness. Treatment involves modifying activities that cause compression, splinting, and sometimes surgery to decompress the nerve. The double crush syndrome can occur when a nerve is compressed at multiple sites, worsening symptoms.
Carpal tunnel syndrome involves pressure on the median nerve as it passes through the carpal tunnel in the wrist. Common symptoms include numbness, tingling, and weakness in the hand and fingers. The cause is often unknown but may involve repetitive wrist motions, swelling from conditions like arthritis or pregnancy, or certain anatomical factors. Diagnosis involves physical exams like Tinel's sign and Phalen's maneuver as well as nerve conduction studies or EMG tests. Treatment ranges from splinting, anti-inflammatory drugs, corticosteroid injections, surgery to release pressure on the nerve. Rehabilitation after surgery focuses on scar tissue massage, modalities to reduce pain and swelling, and exercises to strengthen the hand muscles and improve function.
This document discusses tenosynovitis, an inflammation of a tendon sheath. It provides details on the ultrasound findings of tenosynovitis including thickening of the tendon sheath and fluid distending the tendon sheath. Power Doppler imaging can show increased vascularity in acute tenosynovitis. The document also discusses terminology such as tendinitis, which is inflammation of the tendon, and peritendinitis, which is inflammation of the paratenon surrounding the tendon.
Differential diagnosis of musculoskeletal involvement in rheumatoid arthritis...abdelrazekdawod
Rheumatoid arthritis, systemic lupus erythematosus, and systemic scleroderma can all involve the joints, muscles, and bones but have distinct patterns of involvement. Rheumatoid arthritis predominantly affects the small joints of the hands and feet symmetrically, leading to erosions, deformities, and joint destruction. Systemic lupus erythematosus usually causes non-deforming arthritis or arthralgia that can be migratory or asymmetric, with normal joint spaces but subchondral sclerosis and osteopenia. Systemic scleroderma is characterized by soft tissue calcification, acro-osteolysis of the distal phalanges, and flexion contractures resulting from
Similar to Common Upper and Lower extrimity disorders (20)
The document provides guidance on conducting a comprehensive health assessment, including collecting a health history and performing a physical examination. It describes the components of a health history, such as biographical data, chief complaints, past and family medical history, functional status, and psychosocial factors. The document also offers best practices for preparing the patient and environment for the assessment and using effective communication techniques.
Electrolyte and metabolic ECG abnormalitiesAby Thankachan
This document discusses various electrolyte abnormalities and their ECG manifestations. Hyperkalemia causes widened and low amplitude P-waves, widened QRS complex with potential fusion of the QRS-T segment and loss of the ST segment, and tall tented T-waves. Hypokalemia results in ST depression and flattened T-waves and possible negative T-waves. Hypercalcemia speeds repolarization, causing tall peaked T-waves at mild levels and extremely wide QRS complex with low R-waves and disappearance of P-waves at severe levels. Hypocalcemia causes a narrowed QRS complex, reduced PR interval, flattened and inverted T-waves, and prolonged QT and ST intervals. Hypomag
Non infarction Q waves
Precise guide for Allied Health Science Students especially cardiac specialty students, DGNM, B.Sc Nursing & M.Sc Nursing Students regarding Non Infarction Q waves
Repolarization ST wave Abnormalities
Precise guide for Allied Health Science Students especially cardiac specialty students, DGNM, B.Sc Nursing & M.Sc Nursing Students regarding Repolarization ST wave Abnormalities.
Nursing Assessment-History and Physical assessment - Musculoskelatal System/ ...Aby Thankachan
This document provides information on diagnostic tests and nursing interventions for musculoskeletal function assessment. It discusses tests such as arthrocentesis, arthroscopy, bone density tests, bone scans, CT scans, EMGs, MRIs, x-rays, and biopsies. For each test, it describes the purpose and relevant nursing interventions such as dressing care, activity restrictions, dietary restrictions, and monitoring for complications. It also discusses subjective and objective assessments including categories like history, symptoms, and physical exams of muscles, nerves, and vascular structures.
Review of Anatomy and Physiology of Musculoskeletal System / NursingAby Thankachan
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Review of Anatomy and Physiology of Musculoskeletal System . Highly recommended for II B.Sc Nursing Students.
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Age Related Problems / Geriatric problems, and its management. Highly recommended for II B.Sc Nursing Students.
Respiratory obstruction / Airway Obstruction Aby Thankachan
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Respiratory obstruction / Airway Obstruction, and its management. Highly recommended for II B.Sc Nursing Students.
Dyspnea, also known as shortness of breath, is the feeling that one cannot breathe well enough. It is normally felt during heavy exertion but can become pathological during light exertion or unexpected situations. The causes of dyspnea are often asthma, pneumonia, heart failure, lung disease, or anxiety disorders. The initial evaluation of dyspnea involves assessing breathing, circulation, and getting a medical history and physical exam. Imaging tests like chest x-rays or CT scans may help identify specific causes like pneumonia or pulmonary embolism. Treatment focuses on the underlying cause, with oxygen therapy and pulmonary rehabilitation also being effective options.
Shock is a life-threatening condition where tissues do not receive enough oxygen due to reduced blood flow. If untreated, shock progresses through stages from initial compensation to irreversible organ failure. The main types of shock are hypovolemic, cardiogenic, distributive, and obstructive. Management involves treating the underlying cause, restoring circulating volume with fluids, and providing supportive care like oxygen therapy. Nurses play an important role in monitoring for shock progression and supporting medical management.
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Uirinary incontinence / Bladder Incontinence, and its management. Highly recommended for II B.Sc Nursing Students
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Bowel Incontinence / Fecal Incontinence, and its management. Highly recommended for II B.Sc Nursing Students
Syncope, or fainting, is defined as a transient loss of consciousness caused by a brief period of low blood flow to the brain. It has many potential causes including vasovagal, cardiac, and neurological factors. Common triggers for vasovagal syncope include pain, emotional stress, and standing for long periods. Symptoms progress from presyncope like dizziness to loss of consciousness during a syncopal episode. Treatment depends on the identified cause but generally involves lying the patient flat and monitoring their vital signs until recovery. Further cardiac workup may be needed to rule out serious arrhythmias or structural issues in some cases.
Unconsciousness is an abnormal state where a patient is unaware of their surroundings. It can be momentary or last for months. Common causes include head injuries, low blood sugar, drug overdoses, or lack of oxygen. The first steps in treatment are the ABCs - maintaining airway, breathing, and circulation. A brief examination and history should be done to investigate the cause and plan further treatment. Potential complications include coma, brain damage, broken ribs from CPR, or choking.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. BURSITIS
Inflammation of the fluid-filled pads (bursae) that act
as cushions at the joints.
The most common locations for bursitis are in the
shoulder, elbow and hip. But also bursitis in knee,
heel and the base of big toe also identified.
Bursitis often occurs near joints that perform
frequent repetitive motion.
Treatment typically involves resting the affected joint
and protecting it from further trauma.
In most cases, bursitis pain goes away within a few
weeks with proper treatment, but recurrent flare-ups
of bursitis are common.
3.
4.
5. Tendonitis
A condition in which the tissue connecting muscle to bone
becomes inflame
tendon — the thick fibrous cords that attach muscle to bone.
The condition causes pain and tenderness just outside a
joint.
While tendinitis can occur in any of the tendons, it's most
common around shoulders, elbows, wrists, knees and
heels.
Most cases of tendinitis can be successfully treated with
rest, physical therapy and medications to reduce pain. If
tendinitis is severe and leads to the rupture of a tendon,
surgery is indicated.
6.
7. Impingement syndrome
Shoulder pain caused by connective tissue (a tendon)
rubbing on a shoulder blade.
Shoulder impingement syndrome is
a syndrome involving tendonitis (inflammation of tend
ons) of the rotator cuff muscles as they pass through
the subacromial space, the passage beneath
the acromion.
It is particularly associated with tendonitis of
the supraspinatus muscle.
This can result in pain, weakness, and loss of
movement at the shoulder.
Oral anti-inflammatory medications -- such
as aspirin, naproxen, or ibuprofen, remain the most
common treatment for impingement syndrome.
8.
9. Carpal tunnel syndrome
Carpal tunnel syndrome, also called median nerve compression, is
a condition that causes numbness, tingling, or weakness in hand.
It happens because of pressure on median nerve, which runs the
length of arm, goes through a passage in wrist called the carpal
tunnel, and ends in hand. The median controls the movement and
feeling of thumb and the movement of all fingers except pinky.
Carpal tunnel syndrome (CTS) is a medical condition due to
compression of the median nerve as it travels through the wrist at
the carpal tunnel.
The main symptoms are pain, numbness and tingling in the thumb,
index finger, middle finger and the thumb side of the ring finger.
Symptoms typically start gradually and during the night.
Pain may extend up the arm.
Weak grip strength may occur, and after a long period of time
the muscles at the base of the thumb may waste away. In more than
half of cases, both hands are affected.
10.
11. Risk factors include obesity, repetitive wrist
work, pregnancy, genetics, and rheumatoid
arthritis.
There is tentative evidence
that hypothyroidism increases the risk.
Being physically active can decrease the risk of
developing CTS.
Symptoms can be improved by wearing a wrist
splint or with corticosteroid injections.
Surgery to cut the transverse carpal ligament is
effective with better results at a year compared to
non-surgical options.
18. GANGLION
A non-cancerous lump, often on the tendons or joints of
wrists and hands. Drain the cyst with a needle or removing
the cyst surgically will be an treatment option
19. Dupuytren's contracture
Dupuytren's contracture is a condition in which one or more fingers
become permanently bent in a flexed position.
It usually begins as small, hard nodules just under the skin of the palm,
then worsens over time until the fingers can no longer be straightened.
Causes : Unknown
Risk factors :Family history, alcoholism, smoking, thyroid
problems, liver disease, diabetes, epilepsy
Treatment : Steroid injections, clostridial collagenase injections, surgery
20. CALLUS
A callus is an area of thickened skin that forms as a
response to repeated friction, pressure, or other
irritation. Since repeated contact is required, calluses
are most often found on feet because of frequent
walking and poorly fitting footwear.
21.
22. CORNS
Thick, hardened layers of skin caused by friction and
pressure.
Overgrowth of horny layer of epidermis