Pain

Types of Pain

100

This type of pain is treated by anesthetics, opoids, skelatal muscle relaxors or acetaminophen and is the activation of nociceptors in the skin or soft tissue

What is nociceptive pain

200

This type of pain is cause by inflamitory mediators that sensitize neurons and is treated with asprin, NSAIDS or corticosteroids

What is Inflamatory pain AKA peripheral sensation

300

Pain that is caused by direct injury to nerve axons in the PNS or CNS and is most commonly treated with anticonvulsants or antidepressants (like gabapentio)

 What is neuropathic pain

400

phantom limb, restless leg, bell's palsy , trigeminal neuralgia are all examples of this type of pain

neuropathic pain

500

PT Consideration for anastesia

residule effects

Opioids

100

This receptor is the most effective and addicting

MU

200

This receptor is least effective and least addicting

Delta

300

This is an example of a strong opiod

morphine, hydromophone fentanyl

400

This is an example of a mild opiod

codeine, hydrocodone, oxycodone

500

these clincally manifest 6-10 hours after censation fo opiods

What is withdrawal, muscle cramps, achs , fever, irritiabiltiy, sweatign.

This and That

100

These are the most common medications taken by patients in outpatient PT

What are asprin and NSAID (nonsteroidal anti-inflamatory drugs)

200

muscle gaurding in conjuction with pain input that excites SC motor nuerons

what is muscle spasm

300

hpertonia that results from over excitation of the CNS

Spasticity

400

This is a PT concern for long term inpatient care opiod use that can also sometimes occur in an outpatient setting

Respiratory depression

500

PT consideration when working with local anastesia

Lack of sensation, and monitor for adverse CNS symptoms , Dysrythmias , seizures, nystagmus

Non Analgesic

100

This is the max number of corticosteroid injections recommend in a year

What is 3-4 injections  because of the catabolic (tissue breakdown effect).

200

This works by triggers the release of cortisol which is naturally released during stress to inhibit inflammatory mediators 

corticosteroids

300

These are the next top PT Considerations for corticosteroids after catabolic (tissue brkdown).

What are 

1. Hypertension

2. immunosupression 

3. dosing education (abrupt withdrawl can lead to DEATH)

400

This should be monitored in patients with a combination of corticosteroid use and diabetes

signs of hyperglycemia

500

This moon faced endocrine disorder can be induced by corticosteroid use

Drug induced cushings syndrome

PT Considerations

100

T his is the number one PT consideration for a patient on Gabapentin to treat neuropathic pain

Monitor for symptoms of sedation, fatigue, or ataxia. 

If symptoms impair function consult a physician.

200

This is the number one PT consideration for long term use of corticosteroids

What is the catabolic effects (break don of tissue, skin, bone, week connective tissue). 

Careful when modalities effect connective tissue.

300

This is the primary PT consideration for patients on asprin of NSAID

Scheduling therapy at peak times vs drug free

400

The top PT concerns for those on muscle relaxers

What are sedation (guard, limited carryvoer) and addiction

500

The number 1 pt consideration for opiod use

Mental state / sedation /Euphoria, scheduling, orthostatic hypotension