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Flashcards in Sprain Deck (19)
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0
Q

Def Strain

A

Stretching or tearing of Muscle and Tendon

1
Q

Def Sprain

A

Stretching or tearing of ligaments - the fibrous tissue that connect two bones together in your joints. The most commonly sprained location is your ankle.

Sports injuries can be treated as sprain

2
Q

Areas that are easy to sprain

A
Wrist
Ankle
Knee
Low Back
Neck
Elbow
Hip
Shoulder
3
Q

Whats the easiest area to get a sprain?

A

Ankle

4
Q

Clinical Features

A

Swelling
Pain
Limited ROM
Bruise to local area

5
Q

Etiology/Pathology

A

Over use and Injury
Exercise without warm up
Overstretch
Improper Lifting

6
Q

Whats the “Golden Period”

A

To treat 1 hour after injury

There’s minimal pain and swelling making it easier to treat

7
Q

Sports Medicine Tx

A

Restore Energy

Improve performance using St 36 and SI 3

8
Q

Things to Rule out

A

Dislocation
Bone Fracture
Complete Tears
Encourage patient to get x-ray…Soft tissue damage not seen on X-ray though!

9
Q

Diagnosis

A

Injury History: Details of what happened
Time
What part of body hit
Where is pain

Check local area for swelling/bruising/bleeding/pain on palpation

10
Q

Differentiation

A

Fracture- Pain, tender, longitudinal swelling and bruising, complete loss of function, twisted deformity, shock

Dislocation- Injury history, Pain and swelling, loss of function, disformity, elastic fixation (goes back to position)

11
Q

Stages

A
Early Stage: 
          1-3 Days
           Main pathology blood stasis
           Severe fixed pain
           Red/purple
           Swelling/bruising
           Limited movement
           Warm
           Pain could be causing insomnia
Middle Stage: 
           3 days to 2 weeks
Late Stage: 
          2 Weeks and on
          Can combine with W-C-D - Heavy Sensation
          Still some blood stasis
          Pain not as severe - mild/moderate
          Swelling/bruising
          Aggravated by cold
          Qi Def Signs
          Bruise colour through healing process
          Repetitive kidney Def 

*Repetitive injury treat as you would in late stage

12
Q

POT

A

Early: Promote blood circulation
Remove Blood Stasis

Late: Tonify Qi and Blood
Nourish Tendon and bones
Remove Blood Stasis

13
Q

Tx

A

Herbal: Zheng Gu Shui/ Woodlock ~ “Herbal Wash”

Acute: Corresponding Body part - Left Ankle, right hand
Treat Shaoyang foot with hand shaoyang
Moving Needle technique
Avoid Local Area
Bleeding
Bleed Cupping
6 Zones

HEAT Vs. COLD

After 24 hrs First 24 Hrs
Repair Tissue
Remove Blood Stasis

Auricular Acupuncture -Corresponding points, subcortex, shenmen

Chronic: Moxa with ginger 10-15 min with 5-7 units
Internal Herbals for bigger area ~ Yun nan bai yao
~moves blood and stops bleeding

14
Q

Edu

A
Exercise Reg
Always warm up before activity
Rest injury and fixation if necessary
Elevate
Encourage gradual exercise through injury process...Passive ---> Active
15
Q

Severe fixed pain aggrevated by pressure and movement, obvious swelling, red/purple skin, insomnia

A

Early Stage

16
Q

Early Stage T and P

A

T: Thin and white
P: Wiry and tight

17
Q

Mild or moderate fixed pain or soreness and heaviness, recurrent swelling, limited range of motion aggravated by cold, cool and numbness of skin, pale and puffy complexion, lassitude, chills

A

Late Stage

18
Q

Late Stage T and P

A

T: Ecchymosis, white and sticky coat

P: Thready and choppy