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OPP 14 Neck/Arm

Garlitz: Neck and Arm Pain Syndromes

Nerve roots exit ___ vertebral bodies Above
Neuropathy V. Myelopathy M: spinal cord involvement of the upper and lower limbs Affects gait, balance, urological problems
Most typical level of radiculopathies C7 70%
Five muscles implicated in cervical myofascial pain Trapezius Levator Scapulae Rhomboids Supraspinatus Infraspinatus
True neurogenic thoracic outlet syndrome Brachial plexus is injured Seen on EMG/nerve conduction Can be long-term (rare)
True vascular thoracic outlet syndrome Subclavian artery/vein is damaged or thrombosed Seen with arteriogram/venogram
Nonspecific thoracic outlet syndrome No abnormal tests to document lesion Most common type
When a patient presents with thoracic outlet syndrome what tumor should you suspect? Pancoast tumor
Three provocative tests for thoracic outlet syndrome Scalene compression (Adson) Costoclavicular Compression Pectoralis minor compression
Double Crush syndrome is a combination of ___ and ____ Thoracic outlet and carpal tunnel syndrome
Compression of an axon at one point... renders it more susceptible to damage at another
How do you treat double crush? Tx must be directed at both lesions for optimum results.
Created by: bcriss