Musculoskeletal Issues and Treatments

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary risk factor for elderly women regarding falls?

  • Osteoporosis (correct)
  • Impaired vision
  • Dehydration
  • Lack of exercise

Which of the following defines a sprain?

  • A muscle injury caused by overuse
  • Inflammation of a bursa
  • Injury to a muscle resulting in swelling
  • A sudden twist or wrench of a joint causing ligament damage (correct)

What should a pharmacist do if a patient presents with spontaneous bruising?

  • Consider possible underlying conditions (correct)
  • Advise the patient to rest and apply ice
  • Rule out common minor injuries
  • Suggest over-the-counter pain relief

What is the main treatment approach for sprains and strains?

<p>Early mobilization and strengthening exercises (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of bursitis?

<p>Reduced friction during movement (C)</p> Signup and view all the answers

What common condition involves a stiff and painful shoulder?

<p>Frozen shoulder (B)</p> Signup and view all the answers

What is a potential consequence of muscle pain after strenuous activity?

<p>Delayed onset soreness (C)</p> Signup and view all the answers

What is the preferred initial action when dealing with head injury pain?

<p>Refer for further investigation (A)</p> Signup and view all the answers

What is a potential effect of high doses of codeine?

<p>Respiratory depression (C)</p> Signup and view all the answers

What is the primary role of glucosamine sulphate in relation to cartilage?

<p>It stimulates cartilage production. (B)</p> Signup and view all the answers

Why should products containing caffeine be avoided near bedtime?

<p>They have stimulant effects. (B)</p> Signup and view all the answers

What is one reason for the high placebo response to topical analgesic products?

<p>The massaging action increases blood flow. (B)</p> Signup and view all the answers

Which of the following components is NOT part of the RICE acronym for treating sprains and strains?

<p>Elevation (B)</p> Signup and view all the answers

What is the main aim of applying compression immediately after a soft tissue injury?

<p>To prevent swelling. (C)</p> Signup and view all the answers

What sensation does menthol produce when applied as a topical analgesic?

<p>A feeling of coolness followed by warmth (C)</p> Signup and view all the answers

What is a potential risk associated with using Capsaicin preparations?

<p>Transferring the substance to the eyes (A)</p> Signup and view all the answers

When is it appropriate to apply heat to an injured area?

<p>After the acute phase has passed. (C)</p> Signup and view all the answers

Which of the following topical agents should be used with caution in patients with asthma?

<p>Topical NSAIDs (A)</p> Signup and view all the answers

Which of the following actions should be taken if intense irritation occurs after using a topical analgesic?

<p>Discontinue use of the product. (A)</p> Signup and view all the answers

What role does good posture play in preventing recurrent back pain?

<p>It reduces the chances of injury. (A)</p> Signup and view all the answers

Heparinoid and hyaluronidase are primarily used to treat which condition?

<p>Swelling and bruising (C)</p> Signup and view all the answers

Which of the following is NOT a common component of topical analgesics?

<p>Gemcitabine (C)</p> Signup and view all the answers

What is a beneficial effect of heat application after the acute phase of an injury?

<p>It decreases muscle stiffness and pain. (C)</p> Signup and view all the answers

Which measure is NOT recommended to maintain a safe use of topical analgesics?

<p>Apply on broken skin for quick relief. (A)</p> Signup and view all the answers

What is the internationally accepted measure for obesity?

<p>Body Mass Index (BMI) (A)</p> Signup and view all the answers

Which BMI value classifies an individual as obese?

<p>Over 30 (A)</p> Signup and view all the answers

What effect can a weight loss of 5 to 10 kg have on diabetes-related mortality?

<p>40-50% fall (C)</p> Signup and view all the answers

Which type of medication is primarily recommended for musculoskeletal pain?

<p>NSAIDs (A)</p> Signup and view all the answers

Which medical conditions can potentially lead to weight gain?

<p>Hypothyroidism and renal stones (A)</p> Signup and view all the answers

What is an important consideration when prescribing pain medication to elderly patients?

<p>Risk of falls due to side effects (A)</p> Signup and view all the answers

What is the recommended use for orlistat 60 mg capsules?

<p>In conjunction with a low-calorie, low-fat diet and exercise (D)</p> Signup and view all the answers

What should a pharmacist inquire about if an elderly patient reports falls?

<p>Current medication (D)</p> Signup and view all the answers

Which medication requires adjustment of doses if a patient loses weight?

<p>Antiepileptic drugs (A)</p> Signup and view all the answers

When should a patient experiencing pain return to their doctor?

<p>After 5 days of treatment without improvement (A)</p> Signup and view all the answers

What is the primary action of paracetamol?

<p>Analgesic and antipyretic (A)</p> Signup and view all the answers

What is the effect on blood pressure from a weight loss of 5 to 10 kg?

<p>10 mm Hg fall (C)</p> Signup and view all the answers

What is a primary contributor to obesity for most individuals?

<p>Imbalance between energy intake and expenditure (C)</p> Signup and view all the answers

Which of the following conditions typically requires a referral back to the doctor?

<p>Suspected fracture (C)</p> Signup and view all the answers

What type of self-treatment should be evaluated for effectiveness?

<p>Topical analgesics (D)</p> Signup and view all the answers

Which of the following is considered a possible adverse effect from medication in elderly patients?

<p>Fall risk and confusion (D)</p> Signup and view all the answers

What is the common characteristic of shoulder pain in older patients?

<p>It may radiate to the arm and worsen at night. (D)</p> Signup and view all the answers

What should be considered if NSAIDs fail to alleviate shoulder pain after 5 days?

<p>Refer for alternative treatment and physiotherapy. (C)</p> Signup and view all the answers

Which symptom is NOT typically associated with joint pain caused by arthritis?

<p>Difficulty breathing (D)</p> Signup and view all the answers

What is a common cause of lower back pain after physical activities such as gardening?

<p>Muscle strain (A)</p> Signup and view all the answers

What should a patient do if lower back pain is more severe and radiates down the legs?

<p>Refer to a doctor for assessment. (D)</p> Signup and view all the answers

What is a notable feature of repetitive strain disorder?

<p>It occurs due to prolonged static hand positions. (A)</p> Signup and view all the answers

Which symptom might suggest a kidney problem when experiencing back pain in the loin area?

<p>Frequent urination with discomfort (A)</p> Signup and view all the answers

What is NOT recommended for simple low back pain management?

<p>Engaging in bed rest (C)</p> Signup and view all the answers

Flashcards

Sprains

A sudden twist or wrench of a joint, stretching or twisting ligaments, sometimes with tearing.

Strains

Injury to a muscle, often from overuse, resulting in swelling and pain.

Elderly fracture risk

Falls in elderly people are more likely to cause fractures, especially in women due to osteoporosis. Referral to a doctor is recommended.

Muscle pain cause

Strenuous activities like gardening or exercise can cause muscle pain.

Signup and view all the flashcards

Bruising and underlying issues

Bruising from injury is common. However, unexpected bruising can signal serious conditions like blood disorders or adverse drug reactions.

Signup and view all the flashcards

Head injury caution

Head injuries, especially in children, require immediate medical attention due to potential severity.

Signup and view all the flashcards

Bursitis

Inflammation of a bursa, a small fluid-filled sac that reduces friction during movement. Usually characterized by joint swelling, pain, and tenderness.

Signup and view all the flashcards

Frozen Shoulder

A common condition resulting in stiff, painful shoulder.

Signup and view all the flashcards

Shoulder pain (older adults)

Shoulder pain, often worse at night, potentially radiating to the arm. Common in patients over a certain age.

Signup and view all the flashcards

Joint pain (arthralgia)

Pain in one or more joints. Often includes swelling, inflammation, stiffness, and limited movement.

Signup and view all the flashcards

Low back pain (muscle strain)

Pain in the lower back, frequently from muscle strain. Usually from activities like gardening or lifting.

Signup and view all the flashcards

Sciatica

Severe back pain radiating down one or both legs, indicating a possible nerve issue.

Signup and view all the flashcards

Back pain (middle/upper)

Less common back pain in the middle or upper back, lasting for several days. Requires further medical evaluation.

Signup and view all the flashcards

Kidney pain (back)

Pain in the back, typically lower and to the sides. May be associated with urine problems.

Signup and view all the flashcards

Repetitive strain disorder (RSD)

Chronic upper limb pain caused by repetitive hand movements, often at work.

Signup and view all the flashcards

RSD symptoms

Pain in one or both arms. Possible creaking sounds (crepitus) in the wrist when moving.

Signup and view all the flashcards

Prescribed medication for pain

Pain relievers (like painkillers or NSAIDs) a doctor recommends.

Signup and view all the flashcards

Adverse effects of medication

Side effects from treatment, potentially harmful or unpleasant.

Signup and view all the flashcards

Referral to doctor needed

If pain is severe, not improving, or interacting with other medications, see a doctor.

Signup and view all the flashcards

Self-medication

Treating a condition with non-prescription remedies.

Signup and view all the flashcards

Medication failure

Medicine not alleviating the pain.

Signup and view all the flashcards

Treatment timescale for musculoskeletal conditions

Pain relief from musculoskeletal problems typically observed within 5 days.

Signup and view all the flashcards

Topical analgesic

Pain relief applied directly to the affected area.

Signup and view all the flashcards

Paracetamol

Pain reliever and fever reducer with limited anti-inflammatory properties.

Signup and view all the flashcards

Codeine's Side Effect

High doses of codeine can cause respiratory depression, meaning it slows down breathing.

Signup and view all the flashcards

Caffeine in Analgesics

Some pain relievers contain caffeine to increase alertness and mental focus.

Signup and view all the flashcards

Topical Analgesic Placebo

Topical pain relievers often work due to the placebo effect—the act of applying them stimulates blood flow and nerves, reducing pain.

Signup and view all the flashcards

Counterirritants' Action

These medications cause blood vessel widening (vasodilation) in the area they're applied to, creating a feeling of warmth.

Signup and view all the flashcards

Methyl Salicylate's Use

Methyl salicylate is a common and effective ingredient in counterirritants.

Signup and view all the flashcards

Menthol's Dual Effect

Menthol initially produces a cooling sensation, followed by warmth when applied topically.

Signup and view all the flashcards

Capsaicin's Effect

Capsaicin causes a warming sensation when applied to the skin, used in some topical pain relief products.

Signup and view all the flashcards

Topical NSAIDs and Aspirin Sensitivity

People with asthma, hay fever, or hives (urticaria) who are sensitive to aspirin should avoid topical NSAIDs (non-steroidal anti-inflammatory drugs).

Signup and view all the flashcards

Glucosamine and Chondroitin for OA

Glucosamine and chondroitin are supplements that may help reduce Osteoarthritis (OA) symptoms. Glucosamine stimulates cartilage production, while chondroitin inhibits cartilage destruction.

Signup and view all the flashcards

RICE for Sprains and Strains

RICE is an acronym for Rest, Ice, Compression, and Elevation, a first-aid treatment for sprains and strains. It aims to reduce swelling and pain.

Signup and view all the flashcards

Heat for Injuries: When?

Heat can soothe pain after the acute phase of an injury (1-2 days). However, applying heat immediately can worsen swelling.

Signup and view all the flashcards

Good Posture for Back Pain

Maintaining good posture, lifting correctly, using a supportive mattress, and managing weight can help prevent recurrent back pain.

Signup and view all the flashcards

Topical Analgesics: Careful!

Topical analgesics should be kept away from eyes, mouth, and open wounds. Contact can cause intense pain and irritation.

Signup and view all the flashcards

Sprains: Rest and RICE

Sprains involve stretching or tearing of ligaments. RICE (Rest, Ice, Compression, Elevation) helps reduce swelling and promote healing.

Signup and view all the flashcards

Strains: Overuse Injuries

Strains involve injuries to muscles, often caused by overuse or strain. RICE helps manage pain and inflammation.

Signup and view all the flashcards

Preventative Measures: Back Pain

Good posture, proper lifting techniques, a supportive mattress, and weight management can significantly reduce the risk of back pain.

Signup and view all the flashcards

Obesity epidemic

A worldwide increase in obesity rates, particularly in developed countries.

Signup and view all the flashcards

BMI (Body Mass Index)

A measure of body fat based on weight and height. Calculated as weight (kg) divided by height squared (m2).

Signup and view all the flashcards

Overweight vs. Obesity

Overweight: BMI of 25 or more. Obesity: BMI of 30 or more.

Signup and view all the flashcards

Obesity Causes

Obesity often arises from an imbalance between energy intake (food) and energy expenditure (exercise).

Signup and view all the flashcards

Medical conditions causing weight gain

Certain medical conditions like hypothyroidism can cause weight gain.

Signup and view all the flashcards

Weight loss benefits

Even a small weight loss (5-10 kg) can have significant health benefits, such as reducing mortality and improving blood pressure.

Signup and view all the flashcards

Orlistat for Weight Loss

Over-the-counter medication for weight loss, available to those over 18 with a BMI of 28 or greater.

Signup and view all the flashcards

Orlistat Contraindications

Orlistat is contraindicated in individuals with kidney disease, renal stones, and those taking thyroxine for hypothyroidism.

Signup and view all the flashcards

Study Notes

Musculoskeletal Problems

  • Pharmacists often advise on muscular injuries, sprains, and strains. OTC treatments can be helpful.
  • Age: Falls are more likely to cause fractures in the elderly, especially for women with osteoporosis. Referral to a doctor is advised.
  • Symptoms/History: Injuries often occur during falls, physical activity (lifting, sports), or trauma. The pharmacist needs detailed information about how the injury happened.

Sprains and Strains

  • Tendons connect muscle to bone, while ligaments connect bone to bone.
  • Sprains: Sudden twisting or wrenching of a joint, stretching or tearing ligaments.
  • Strains: Muscle injury, often from overuse, causing swelling and pain.
  • Early mobilization, strengthening, and coordinating exercises are crucial for recovery. A gradual return to full activity is important.

Muscle Pain

  • Muscle stiffness and pain can arise from strenuous activities like gardening or exercise.
  • OTC medicines can help reduce discomfort.

Bruising

  • Bruising (Plate 40) is common after injury. Bruising without apparent injury could suggest a serious condition. This warrants pharmacist attention.
  • Conditions like thrombocytopenia or leukemia can cause spontaneous bruising. Drug reactions can also cause bruising.

Head Injury

  • Head pain warrants suspicion and referral for further investigation, particularly in children.

Bursitis

  • Bursae reduce friction during joint movement.
  • Joint swelling and pain are common symptoms.

Frozen Shoulder

  • Stiff and painful shoulder is prevalent in older patients.
  • Pain may radiate to the arm, often worse at night.

Joint Pain (Arthralgia)

  • Joint pain could stem from arthritis, a common cause with numerous origins.
  • Symptoms might include swelling, inflammation, stiffness, limited movement, or deformity.
  • Referral to a doctor is needed for proper diagnosis and treatment.

Back Pain

  • Causes often include muscle or soft tissue strain (e.g. ligaments, tendons).
  • Mild back pain after activities like gardening, heavy lifting, or bending is often manageable through pharmacist advice.
  • Severe pain radiating from the back down one or both legs may indicate sciatica.
  • Referral to the doctor for severe or persistent back pain is necessary.
  • Kidney pain in the loin area, pain upon urination, or altered urine color suggests kidney concerns and requires medical evaluation.

Medications and Treatment

  • General Treatment Timescale: Musculoskeletal conditions typically respond within a few days. Maximum 5 days treatment, then see a doctor.
  • Caution: Orlistat, ibuprofen, and other NSAIDs shouldn't be used in certain circumstances, including pregnancy, certain medical conditions, or allergies.
  • Side Effects: Falls, adverse reactions, indigestion, bleeding issues, and other side effects can occur with various treatments. The individual should be cautious.
  • Self medicating: Always consult a pharmacist regarding self treatment procedures.

Head Injury

Pain from head injury warrants suspicion and referral to a doctor, especially in children.

Further Treatment

  • Ice, compression, elevation (RICE) can reduce swelling.
  • OTC analgesics (ibuprofen, paracetamol, aspirin) are common treatments.
  • Heat therapy can reduce pain when used properly (delayed use after immediate injury).
  • Medications should be used as directed and side effects should be monitored.
  • Physical therapy can help with recovery.
  • Repetitive Strain Disorder: Prolonged repetitive hand motions can lead to chronic upper limb pain syndrome.
  • Paracetamol: Analgesic and antipyretic, but not anti-inflammatory; safe for those who can't use aspirin; caution against high doses.
  • Aspirin: More irritating to the stomach, not suitable for children under 16 or those with peptic ulcers and bleeding histories; requires caution for allergies.
  • Codeine and Dihydrocodeine: Narcotic analgesics; possible side effects include constipation and drowsiness.
  • Caffeine: found in some combination pain relief products. Not recommended around bedtime due to stimulant effects.
  • Topical Analgesics: like methyl salicylate or menthol, can relieve local pain.
  • Heparinoid-Hyaluronidase: reduce swelling; used in bruises, sprains, and strains.
  • Glucosamine and Chondroitin: potential benefits in treating osteoarthritis (OA) symptoms.

Weight Loss and BMI

  • Obesity is a major health concern, particularly in developed countries.
  • BMI (body mass index) is the internationally accepted measure of obesity.
  • BMI over 25 is considered overweight, 30 is obese.
  • Factors contributing to weight gain include imbalance between energy intake and output, genetics, underlying medical conditions and certain medications.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Musculoskeletal Problems PDF

More Like This

Use Quizgecko on...
Browser
Browser