Differential Diagnosis of Cervicobrachial Pain

Jull, Gwendolen; Sterling, Michele; Falla, Deborah; Treleaven, Julia; O’Leary, Shaun

doi:10.1016/b978-0-443-10047-5.50014-x

Cited by 1 publication

(3 citation statements)

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“…They recommend that studies investigate which subgroups of patients will respond to specific interventions. It is postulated that mechano sensitivity of the nerves plays a role in cervico-brachial pain [ 8 , 9 ] In this study the effect of neural mobilisation on a population with cervico-brachial pain and nerve mechano-sensitivity will be investigated. Clinical reasoning suggests that targeting the neural structures in these patients could be beneficial.…”

Section: Discussionmentioning

confidence: 99%

“…The patients with neck and arm pain were more disabled than patients with only neck pain. Cervico-brachial pain syndrome is an upper quarter pain syndrome in which neural tissue sensitivity to mechanical stimulus is thought to play a role [ 8 , 9 ]. Different terms are often used to describe patients with upper quadrant pain such as cervico-brachial pain [ 10 ], nerve related neck and arm pain [ 11 ] and cervical radiculopathy [ 6 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis of cervico-brachial pain is made by a clinical process and there is often no overt neural involvement [ 8 ]. Neural involvement can only be assumed if a cluster of clinical findings are present such as an active and passive movement dysfunction, adverse response to neurodynamic testing and evidence of a local cause of neuropathic pain [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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The effect of neural mobilisation on cervico-brachial pain: design of a randomised controlled trial

Basson¹,

Stewart

Mudzi

2014

BMC Musculoskelet Disord

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BackgroundNeck pain is a common musculoskeletal complaint and is often associated with shoulder or arm pain. There is a paucity of information on effective treatment for neck and arm pain, such as radiculopathy or cervico-brachial pain. Guidelines recommend neck mobilisation/ manipulation, exercises and advice as the treatment for neck pain, and neck and arm pain. There are a few studies that have used neural mobilisation as the treatment for cervico-brachial pain. Although results seem promising the studies have small sample sizes that make it difficult to draw definite conclusions.MethodsA randomised controlled trial will be used to establish the effect of neural mobilisation on the pain, function and quality of life of patients with cervico-brachial pain. Patients will be recruited in four physiotherapy private practices and randomly assigned to usual care or usual care plus neural mobilisation.DiscussionIn clinical practice neural mobilisations is commonly used for cervico-brachial pain. Although study outcomes seem promising, most studies have small participant numbers. Targeting the neural structures as part of the management plan for a subgroup of patients with nerve mechano-sensitivity seems feasible. Patients with neuropathic pain and psychosocial risk factors such as catastrophising, respond poorly to treatment. Although a recent study found these patients less likely to respond to neural mobilisation, the current study will be able to assess whether neural mobilisation has any added benefit compared to usual care. The study will contribute to the knowledge base of treatment of patients with cervico-brachial pain. The findings of the study will be published in an appropriate journal.Trial registrationTrial registration Number: PACTR201303000500157.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2474-15-419) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%