Term
| what can cause hypomobility lesions |
|
Definition
| movements that place rotational stress on the SIJ suchg as bellet or golf or may develop after pregancy, trauma, or insidously |
|
|
Term
| are hypomobility lesions more common in young or old people |
|
Definition
|
|
Term
| what are 2 causes of hypermobility of the SIJ |
|
Definition
| instability of symphysis pubis which occurs primarily in athletes; abnormal movement following pregnancy |
|
|
Term
| in what patients are degenerative changes of the SIJ common |
|
Definition
| older patients. Also may occur secondary to disroders in which movement is decreased, including chronic neurologic consitions sucha s para plegia and hemiplegia. |
|
|
Term
| what part of the SIJ is affected first by degenerative changes |
|
Definition
| iliac surface because cartilage is thinner there |
|
|
Term
| what is osteitis condensans ilii |
|
Definition
| noninflammatory condition characterized by condensatinoof bone on the iliac side of the SIJ. |
|
|
Term
| what causes osteitis condensand ilii |
|
Definition
| bony reaction to unequal stress in the joint |
|
|
Term
| is osteitis condensands ilii usually bilateral or unilateral |
|
Definition
|
|
Term
| who is osteitis condensands ilii more common in? |
|
Definition
| young adults, particularly postpartum women. |
|
|
Term
| what are treatments of osteitis condensans ilii |
|
Definition
| reassurance, analgesics, posture correction, sacroiliac belt. Goes away with menopause |
|
|
Term
| what are differential diagnoses of SIJ dysfunction |
|
Definition
| inflections, inflammation |
|
|
Term
| are infections more often bilateral or unilateral |
|
Definition
|
|
Term
| what are examples of infections of SIJ |
|
Definition
|
|
Term
| what are some inflammatory conditions of the SIJ |
|
Definition
| ankylosing spondylitis, reiter's syndrome, psoriasis |
|
|
Term
| what are the most commonly overlooked pubic dysfunction |
|
Definition
|
|
Term
| what can contribute to pubic shearing |
|
Definition
| muscle imbalances between abdominals and adductors |
|
|
Term
| are pubic shears common with upslips, downslips? |
|
Definition
|
|
Term
| what might cause pubic separation |
|
Definition
|
|
Term
| what does severe pubic separation cause |
|
Definition
| ER, outflare, painful alteration of gait |
|
|
Term
| how to fix pubic separatio |
|
Definition
|
|
Term
| causes of pubic symphysis compression |
|
Definition
| spasm, tight musculature, trauma, hip hyperadduction |
|
|
Term
| what are the symptoms of pubic symphysis compression |
|
Definition
| symphseal, medial hip, and thigh pain increased with stair clming dn walking |
|
|
Term
| how to treat pubic symphysis compression |
|
Definition
| soft tissue manipulations to the pelvic diaphragm and pubci decomresspin/distraction.movement is encouraged |
|
|
Term
| what is osteitis pubis syndrome |
|
Definition
| painful, chronic syndore that affects the symphysis pubis, adductor and abdominal muscles, and surrounding fascia by affecting joint mobiliyty or musculotendinous attachemtns. |
|
|
Term
| what is osteiotis pubis syndrome often mistaken for |
|
Definition
| adductor strain, which is tenderness to direct pressure around the symphysis |
|
|
Term
| in what kind of pt is osteitis pubis most common |
|
Definition
| men in 3rd and 4th decade of life who participate in sports |
|
|
Term
| what are likely cuases of osteitis pubis |
|
Definition
| overuse, muscleimbalances |
|
|
Term
| symptoms of osteitis pubis |
|
Definition
| pain in pubic area, gorin, lower recuts abdominis. Can radiate to hip, testis, perinemum and may cause low back pain. Pain made worse by exercise. And certain movements. |
|
|
Term
| how is osteitis pubis diagnosed |
|
Definition
| radiography shows pbic symphysis out of alignment |
|
|
Term
| how to treat osteitis pubis |
|
Definition
| medicine, modaltities, gentle mobilization, stretching, stabilization exercises |
|
|
Term
| what are common causes of coccygeal pain |
|
Definition
| muscle scarring or trauma from fall or childbirth |
|
|
Term
| what is an indicator of sacrococcygeal joint prolem |
|
Definition
| patiet is unable to sit on both buttocks at same time |
|
|
Term
| what is a clinical indicator of coccygeal proel |
|
Definition
| m reproduction of pelvicic floor pain with resisted hip extension |
|
|
Term
| when does pelic pain arising form the coccyx worsen |
|
Definition
| with stair climbing and hip extnesion. |
|
|
Term
| what muscles can be tens and cause a tender coccyx |
|
Definition
|
|
Term
| how to treat sacrococcygeal joint |
|
Definition
| ultrasound, passive joint mobilization, soft tissue manipulations, friction massage, muscle relaxation, coccyx pillow, strain counterstrain of glute maxand piriformis |
|
|
Term
| how can mechanical dysfunction of the coccyx impact diretly on the axial skeleton |
|
Definition
| the dural sac is attached to the coccyx by the filum terminales |
|
|
Term
| wha are 2 things that can result in localized hypomobility of lumbar spine |
|
Definition
| facet joint capsular tightnes, degenerative changes in the sisc |
|
|
Term
| if there is hypomobilty and standing and walking (extension) is most aggravating, is the problem facet related or diskogeneic? |
|
Definition
|
|
Term
| if the pan is caused by flexion/sitting/forward bending and hypomobility, is it facet-related or diskogenic |
|
Definition
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