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A condition that results from th ecompression or entrapment of the median nerve as it passes through the carpal tunnel at the wrist
Carpal Tunnel Syndrome
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The nerve affected by CTS
Median nerve
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Three ways the median nerve becomes compressed
- The size of the tunnel decreases
- The size of the contenets in or passing through the tunnel increases
- A combination of the two
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Three causes leading to an increase in the size of the contents passing through the tunnel (chronic).
- Repetitive action of the wrist, especially flexion and extension
- Thickening of the retinaculum due to scar tissue from repeated trauma
- Systemic conditions that resuls in edema (diabetes, hypothyroidism, RA, prego)
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Fingers affected by CTS
lateral 3.5 fingers
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Explain the pain associated with CTS
- n/t in median nerve distribution
- wakes a person from sleeping
- local pain with wrist activity
- wrist movements are limited by pain
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5 conditions that cam mimic CTS
- TOS
- Referred pain
- Lateral epicondylitis
- Pronator teres syndrome
- Double crush syndrome
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A condition manifested by an obvious exaggerated lumbar lordotic curve and the associated postural compensations commonly seen with this condition.
Hyperlordosis
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What are treatment goals for hyperlordosis? (7)
- Reduce fascial restrictions
- Reduce hypertonicity and trigger points
- Reduce pain if present
- Stretch the shortened muscles
- Mobilize hypomobile joints
- Restore range of motion
- Encourage local circulation
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Supports for hyperlordosis treatment (supine)
- EOP
- Thoracic SPs
- Distal sacrum
- Knees (if needed)
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Supports for hyperlordosis treatment (prone)
- Under heads of humerus
- Abs- just superior to ASIS
- Ankle bolster OK
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Hyperlordosis direction of fascial work to upper chest
- Medial to lateral
- inferior to superior
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Hyperlordosis direction of fascial work to sternum
directly superior
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Hyperlordosis direction of fascial work to lateral chest
- Medial to lateral
- Inferior to superior
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Hyperlordosis direction of fascial work to abs
Inferior to superior (start near xiphoid)
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Hyperlordosis direction of fascial work to quads
Start near hip and work inferior to superior
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Hyperlordosis direction of fascial work to upper spine
Work directly inferior
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Hyperlordosis direction of fascial work to posterior shoulders
- Lateral to medial
- Superior to inferior
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Hyperlordosis direction of fascial work to lumbar region
Superior to inferior
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Hyperlordosis direction of fascial work to gluts
- Medial to lateral
- Obliquely distal
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Hyperlordosis direction of fascial work to hams
Start at knee and work retrograde up thigh
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A chronic, non-progressive condition that moves through stages of remission and flare-ups. During a flare-up, the client will have a high level of pain (7+) and it will likely be body wide.
Fibromyalgia
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How is fibro diagnosed
Diagnosis is based on 11 or more of 18 pre-determined tender points responding with severe pain when receiving mild to moderate pressure.
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Possible causes of fibro (7)
- Genetic predisposition
- Trauma-induced vs primary (no known cause with primary)
- Serotonin deficiency
- Chemical imbalances
- Abnormal hormone levels
- Myoglobin leaking from muscles
- Inability of interstitial fluid to cycle into vascular and/or lymph system
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Best type of treatment for someone with fibro
Alternate lymph with trigger point sessions
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Five causes of hyperlordosis
- Poor posture
- Prolonged standing
- Weak abs
- Prego
- Obesity
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