Cheatography
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Cx Radiculopathy findings and management
This is a draft cheat sheet. It is a work in progress and is not finished yet.
TrP pain referral similar to cx radiculopathy
- Supraspinatous - C5
- Infraspinatous - C5-7
- Scalenus Anterior - C5-C7
- Levator Scapulae C8,T1
Cx Disc Herniation
- More likely to occur posterolaterally |
- Hard Disc Derangement = older patient with degenerative changes |
- Soft Disc Derangement = young pts, trauma commonly benign |
- Look out for C8,T1 lesions , disc herniations are rare - could be non-mechanical |
NR Symptoms
Root |
Symptoms |
C5 |
Pain lateral upper arm to elbow, medial scapula border |
C6 |
Pain in the lateral forearm, thumb and index finger |
C7 |
Neck pain, medial scapula down to middle finger |
C8 |
Neck pain, radiating to the shoulder, ulnar side of forearm and little finger |
T1 |
Pain in shoulder and axilla to olecrana |
Hx Findings
- Sharp, Aching pain in neck radiating into arm |
- Stiffness of neck with decreased ROM |
- Sensory Changes in dermatonal fashion , tingling, numbness, loss of sensation |
- Myotomal weakness in muscles supplied by effected nerve root |
- Bakody's sign (abducting the shoulder and placing hand on their head) reduces symptoms |
- Pain may wake up patient at night (common in neurological pain) |
- Coughing, Sneezing/straining (Valsalva) worsens pain |
Exam Findings
- Pt head tilts away from side of radicular pain |
- AROM reduced in Extension, rotation and lateral flexion - flexion relieves pain |
- Tenderness of paraspinal cx muscles, Trps in muscles supplied by the affected nerve |
-Cx spine compression & Doorbells +ve, Cx distraction relieves pain |
- SMR affected (Diminished & Asymmetrical) |
- Gait, LL reflexes & Hoffmans and Babsinki for suspected myelopathy |
Cervical Spine Injuries
Fracture |
Dislocations |
Spondylolisthesis |
Disc Derangements |
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