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Disorders

Naming & Identifying Disorders for massage clients

TermDefinition
Achondroplasia Most common inherited form of dwarfism
Asymmetric Cartilage Growth Repeated trauma or inherited
Genu Valgum (knock knees/ tibial valgus) Hip adductors are tight, feet are in overpronation
Genu Varum (bowed legged/ tibial varus) seen in child hood, rickets (vitamin D deficiency), hip abductors are tight
Club Foot (talipes equinovarus) Congential deformity of the foot in which the forefoot is turned inward (like a golf club); the achilles tendon will be tight
Flat Foot (pes planus) Foot in which the medial longitudinal arch is either dropped or absent; the forefoot is in inversion;
Pes Cavu ( high arch) An exaggerated and high longitudinal arch of the foot; muscles/structures affected include intrinstic foot muscles, tibialis anterior and posterior, plantar fascia is shortened, with tension at anterior calcaneous
Bunions (Hallux valgus) Bony prominence at the first metatarsal head, in which the toe points laterally
Osteopetrosis Rare inherited bone disorder in which there is abnormally dense bone with complications such as lack of bone marrow and nerve entrapment
Padget's Disease A thickening/ disorganization of bones structure; osteoblasts lay down bone in an irregular and abnormal manner
Osteogenesis Imperfecta Inherited disorder that affects joint, ligaments, teeth, sclera and skin; collagen formation is dysfunctional, leaving bone brittle.
Osteomalacia and Rickets Demineralization (softening bone) due to vitamin D deficiency, commonly seen in children; osteomalacia is seen in individuals before they develop osteoporosis
Scurvy Condition that causes bleeding under the periosteum, bone, joints, and gums, delayed wound healing and bruising, all due to a vitamin C deficiency
Osteoporosis (osteo=bone, porosis=porous) Bone disorder in which there is a decrease in bone mass/ density; serveral factors exist
Osteomyelitis An infection of the bone, caused by bateria in blood or inoculation of pathogens to tissue
Fracture A break in the bone; different types exist -Transvers: bone breaks straight across -Comminuted: bone breaks into many pieces -Spiral: bone breaks diagonally/ oblique -Greenstick: incomplete break, common in children
Collateral Damage -Extensive muscle necrosis (cell/ tissue death) -Hemorrhage due to damaged blood vessels (bleeding) -Tearing of tendinous insertions and ligaments (strain/ sprain) -Nerve damage (loss of sensory/ motor function)
Classification of Fractures -Open: breaks the skin, exposed to environment -Closed: does NOT break the skin, tissues are intact -Displacement: bone's displaced > the thickness of the bone -Pathologic: seen in osteoporosis, avascular necrosis; bone is weak, breaks spontaneously
Factors that Delay Healing -Too much motion -Poor Apposition - Open Fractures - Smoking -Diabetes -Steroid Medications -Poor Nutrition
Stress Fractures (fatigue/ March fractures) Stress induced micro-fractures caused by repetitive use; seen in activities such as skiing, jogging, overtraining, eating disorders
Myositis Ossificans Condition in which a damaged muscle, tendon, ligament or fascia ossifies as a result of traumatic injury; seen in athletic adolescents and young adults
Arthralgia Joint Pain
Arthritis Inflammation of the joint, accompanied by joint pain
Crepitus Abnormal sound or grating sensation of the joint; a possible sign of loss of hyaline cartilage at the ends of bones, or early stage of osteoarthritis
Strains Trauma to the musculotendinous unit (muscle-tendon unit) from excess or forced stretch; a tear in the tendon
Sprain A tear or injury to a ligament; ligament tears are more serious and take longer to heal because ligaments connect bone to bone, and are avascular (have no blood)
Luxation (Dislocation) Complete dislocation of a bone
Subluxation (Dislocation) A partial dislocation of bone
Osteoarthritis (Osteoarthrosis) Non-inflammatory degeneration of the articular cartilage seen in weight bearing joints and fingers: also known as the "wear and tear" arthritis, or early degenerative joint disease
Rheumatoid Arthritis (RA) Autoimmune joint disorder with slow, chronic and progressive inflammation; affects women 2-3x more than men
Lyme Disease (Infectious Arthritis) Caused by a tick (lxodes dammini) which carries the spirochete bacteria Borrelia burgdorferi; takes several days to develop
Gout A condition that results from an increase in serum uric acid level, leads to deposition of urate crystals in joints and kidneys; uric acic crystallizes and deposits in joints, especially in the 1st toe
Tendonitis Inflammation of a tendon
Tennis Elbow (Lateral Epicondylitis) Overuse syndrome commonly seen in tennis players; muscles affected are the extensors of the wrist, particularly the extensor carpi radialis brevis which become hypertonic (tight) due to overuse
Golfer's Elbow (Medial Epicondylitis) Overuse syndrome of the medial aspect of the elbow, affects the flexors of the wrist
Tendosynovitis Inflammation of the tendon sheath
Bursitis Inflammation of the bursa; caused by trauma or overuse with improper biomechanics
Osgood Schlatter Disease Condition in which there is tenderness, swelling and bone growth at the tibial tuberosity; seen in young athletes, usually resolves after bone matures
Plantar Faciitis (Heel Spur syndrome) Pain in the heel due to overuse, microtears in the plantar fascia; pain in the heel in the morning, especially when getting out of bed
Muscular Dystrophy A spontaneous, progressive degeneration of skeletal muscle fibers
Duchenne Muscular Dystrophy X-linked (sex linked) disorder in which there is progressive muscular weakness secondary to fiber degeneration; affects 1 out of 3,500 males
Myasthenia Gravis Autoimmune disorder in which there is abnormal fatigability due to a deficiency in acetylcholine (Ach), with antibodies to acetylcholine receptors at the neuromuscular junction
Fibromyalagia Syndrome (FMS) Idiopathic disorder described by pain, tenderness, muscle stiffness, tender attachments and nearby soft tissues
Scoliosis Lateral curvature of the spine; progression depends on severity and size of the curve as well as its location
Kyphosis Excessive curvature of the thoracic spine("hunchback"); shoulders will appear slouched or medially rotated. Muscles of the anterior shoulder and pectoral gridle are often affected
Lordosis An exaggerated cervical and/or lumbar curvature; also known as "swayback", the pelvis will be tilted anteriorly. Weak abdominal and hamstring muscles, poor posture
Vascular Back Pain Pulsatile or throbbing; pressure is applied to the cord and spinal nerves
Neurogenic Back Pain Pain into the lower extremities (radicular symptoms)
Viscerogenic Back Pain Disorders of the kidneys or other organs which spread to other pars can compress on adjacent structures, especially on the spinal cord and/or nerves
Psychogenic Emotional stress can cause muscle guarding or tightness of the muscles in the lower back, making symptoms worse
Spondylogenic Back Pain Most common type of back pain, usually due to disc degeneration
Spondylolisthesis Slippage of a vertebrae onto another; may be congenital or due to trauma
Ankylosisng Spondylitis Degenerative joint disease of the spine, affects men, associated with chronic inflammation, fibrosis, bone fusion (ankylosis)
Bamboo Spine Appearance of the spine as disease progresses
Created by: LadyCeci
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