CRITICAL POINTS ▪ Early recognition of four sign and symptom factors determines success ▪ Pain modulation includes multiple techniques, patience, and perseverance ▪ Treatment avoids pain provocation ▪ Practical approach…
Hippocrates described the clinical findings associated with scleroderma including thickened skin in his writings from 460 bc . The first detailed description of the condition came from Dr. Carlo Curzio…
CRITICAL POINTS Two Forms of Hyperesthesia ▪ Allodynia: a painful response to a normally nonpainful stimulus ▪ Hyperalgesia: a heightened painful response to a painful stimulus The Anterolateral Pain Pathway…
CRITICAL POINTS ▪ Neuropathic pain is often a major component of neural tension dysfunction. ▪ The nervous system is designed to accommodate movement via excursion and strain, and excess strain…
CRITICAL POINTS ▪ Pain is multidimensional; more than one test or measure may be needed in the examination. ▪ Pain may be the cause or the result of other musculoskeletal…
CRITICAL POINTS ▪ The primary difference between complex regional pain syndrome (CRPS) types I and II is that there is an identifiable peripheral nerve injury in type II. ▪ The…
CRITICAL POINTS ▪ Arthritis is the leading cause of disability in adults. ▪ Conservative management requires an understanding of: The disease process, specific conditions, potential deformities, and the patient’s individual…
CRITICAL POINTS ▪ Disruption of the normal thumb biomechanics by rheumatoid arthritis often leads to significant loss of the patient’s ability to carry out activities of daily living (ADLs). ▪…
CRITICAL POINTS ▪ Degree of thumb pain often does not correlate with radiographic findings, which also may not correlate with true degree of arthrosis as seen arthroscopically. ▪ Most patients…
CRITICAL POINTS ▪ Address the whole patient; treatment is based on patient needs, not radiographs alone. ▪ Surgeon–therapist–patient cooperation is essential. ▪ Meticulous surgical technique and meticulous therapy are both…
