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Is the complaint...
Acute or chronic?
Articular or non-articular?
Inflammatory or non-inflammatory?
Localized or systemic in distribution?
Acute pain
<3months, Sharp/throbbing/pulsing/electric/paresthesia/burning in quality,
moderate to severe intensity at first that decreases over time, edema that
decreases over time, pain disappears once healing is complete, mood does not
change pt complaint, pain localized to site of injury, results from specific injury or
inflammation
Chronic
> 3 months, pain becomes more generalized than specific, pain patterns shift in
location/frequency/intensity/quality, pain does not change with
movement/rest/over time. Pain constant rather than intermittent, mood affects
pain
Articular Structures
synovium, synovial fluid, articular cartilage, intraarticular ligaments, joint capsule,
juxtaarticular bone
Articular Structure Disorders
, Deep or diffuse pain
Limited AROM and PROM on movement
Swelling
Crepitation
Instability
Locking
Deformity
Articular Disorder Classifications (3)
Monoarticular: One joint
Periarticular: Two to four joints
Polyarticular: Four or more joints
Nonarticular structures
Ligaments
Tendons
Bursae
Muscle
Fascia
Bone
Nerve
Overlying skin
Nonarticular structure disorder presentation
Painful AROM but not PROM
Demonstrated point or focal tenderness
Physical findings far from the joint capsule
Unlikely to see crepitus, instability, or deformity
nonarticular disorders are described as either... (2)
Focal or widespread
Inflammatory diseases can be either.... (2)