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Cervical
Cervical Nerve Root lesion vs. Brachial Plexus lesion
| Question | Answer |
|---|---|
| Causes: Disc Herniation, Stenosis, osteophytes swelling w/trauma, spondylosis | Cervical Nerve Root lesion |
| Congenital defects | Cervical Nerve Root lesion |
| Sharp pain, burning in affected dermatomes | Cervical Nerve Root lesion |
| Numbness, pins and needles in affected dermatomes | Cervical Nerve Root lesion |
| Tenderness over affected area of posterior cervical spine | Cervical Nerve Root lesion |
| Decreased ROM | Cervical Nerve Root lesion |
| Transient paralysis usually, myotome maybe affected | Cervical Nerve Root lesion |
| DTR usually normal | Cervical Nerve Root lesion |
| Side flexion, Rotation, and extension with compression- Increases symptoms. Cervical Traction- Decreases symptoms. Upper Limb Tension tests- Positive | Cervical Nerve Root lesion |
| Causes: Stretching or Compression of cervical spine, Depression of Shoulder | Brachial Plexus lesion |
| Thoracic Outlet Syndrome | Brachial Plexus lesion |
| Sharp pain, burning in all or most of arm dermatomes, pain in trapezius | Brachial Plexus lesion |
| Numbness, pins and needles in all or most of arm dermatomes | Brachial Plexus lesion |
| Tenderness over affected area or Brachial Plexus or lateral to Cervical Spine | Brachial Plexus lesion |
| Decreased ROM, but usually returns rather quickly | Brachial Plexus lesion |
| Transient mm weakness, myotomes affected | Brachial Plexus lesion |
| DTR maybe depressed | Brachial Plexus lesion |
| Side flexion w/compression(same side)or stretch(opposite side), may increase symptoms, Upper limb lesion tests maybe positive | Brachial Plexus lesion |