Musculoskeletal mimics of cervical radiculopathy

Chiou‐Tan, Faye Y.

doi:10.1002/mus.27553

Cited by 6 publications

(2 citation statements)

References 38 publications

(133 reference statements)

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“…Despite these defined features of neuropathic pain, people with CSR with neuropathic pain will have varying symptomology. Pain perception is complex and unique; neuropathic, nociceptive or mixed pain mechanisms can be features of CSR [4,49,50,57]. Sensory assessment must include large and small sensory fibres as both are affected in CSR [4].…”

Section: Somatosensory Profiling and Symptom Distributionmentioning

confidence: 99%

Integrating jigsaw puzzle thinking into practice: the assessment of cervical spine radiculopathy

Mansfield

Thacker

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review Cervical spine radiculopathy (CSR) presents a complex socioeconomic problem for patients, clinicians, families, employers and healthcare systems. Due to the heterogeneity of clinical presentation and underlying mechanisms, clinical assessment can be challenging. This review will examine the literature on the underlying pathophysiology and studies investigating the holistic assessment strategies for this disabling condition. The authors will focus particular attention on the psychological factors associated with CSR and the physical and imaging strategies to establish a diagnosis. Recent findings Contemporary CSR assessment should identify the underlying pathomechanisms and how this may impact the somatosensory nervous system integrity and function. No physical assessment test in isolation will establish CSR diagnosis; therefore, clinicians should utilise a cluster of tests and recognise the potential limitations as part of a clinical reasoning framework. The assessment of the somatosensory nervous system can provide insights into particular subgroups of CSR presentation, which may provide interesting opportunities to continue to enhance individualised assessment and management strategies for CSR. The interplay between psychological factors can influence the diagnosis and recovery times for a person with CSR, and clinicians should continue to explore how these factors may influence a person’s prognosis. The authors will discuss the opportunities for future research and limitations of contemporary approaches to assessment, underpinned by evidence, and how this supports a clinical assessment to establish CSR diagnosis. Summary Research should continue to investigate how clinicians assess the interplay between physical and psychological factors to inform the establishment of CSR. Specifically, there is a need to investigate the validity and reliability of combining somatosensory, motor and imaging assessment findings to reach a diagnosis and inform onward management plans.

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Section: Somatosensory Profiling and Symptom Distributionmentioning

confidence: 99%

Integrating jigsaw puzzle thinking into practice: the assessment of cervical spine radiculopathy

Mansfield

Thacker

2023

Current Opinion in Supportive &Amp; Palliative Care

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“…A basic understanding of clinical anatomy is crucial to identifying tendinopathies in the distal upper extremity [ 1 , 2 , 3 ]. One common example of such tendinopathy is the trigger finger.…”

Section: Introductionmentioning

confidence: 99%

Examining the Forearm Intersection through Palpation and Ultrasonography

Naredo,

Murillo-González,

Mérida Velasco

et al. 2024

Diagnostics

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Background: Forearm intersection syndrome causes pain, swelling, and a rub at the dorsal distal forearm where the first extensor compartment muscles intersect with the second compartment tendons. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. This proof-of-concept study aims to help detect the anatomical substrate of forearm intersection syndrome using palpation and ultrasonography when available. Methods: Five individuals were studied using independent palpation and ultrasonography to identify the first dorsal compartment muscles and the second dorsal compartment tendons. The distances between the dorsal (Lister’s) tubercle of the radius and the ulnar and radial edges of the first dorsal compartment muscles were measured to determine the location and extent of the muscle–tendon intersection. The palpatory and ultrasonographic measurements were compared using descriptive statistics and the paired t-test. Results: The mean distances from the dorsal tubercle of the radius to the ulnar and radial borders of the first dorsal compartment muscles were 4.0 cm (SE 0.42) and 7.7 cm (SE 0.56), respectively, based on palpation. By ultrasonography, the corresponding distances were 3.5 cm (SD 1.05, SE 0.47) and 7.0 cm (SD 1.41, SE 0.63). Both methods showed a similar overlap length. However, ultrasonography revealed a shorter distance between the dorsal tubercle of the radius and the ulnar border of the first compartment than palpation (p = 0.0249). Conclusions: Our findings indicate that a basic knowledge of anatomy should help health professionals diagnose forearm intersection syndrome through palpation and, if available, ultrasonography.

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Peripheral nerve injuries in the performing artist

Colorado,

Willeford,

Schultz

2024

Muscle and Nerve

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Dancers and musicians have unique physical demands that can lead to injury of the peripheral nerves. Specific dance movements and specific instrument positions, combined with countless hours of practice and repetition, create an environment for potential nerve injury. Familiarity with these variables and recognition of the common presentations of neuropathic syndromes are essential in the evaluation of a performing artist with a suspected peripheral nerve injury. Assessment should include an understanding and analysis of their dance style or instrument playing posture, particularly in the position or motion that recreates the symptoms if possible. Practice and performance schedules should also be considered. Diagnosis may require electrodiagnostic testing, imaging, or diagnostic injections. Treatment should be comprehensive and may include modifications in practice schedule, posture/position, and technique in addition to consideration of medications, splints/orthoses, physical therapy, and injections. The instructor/teacher should be involved in the treatment plan if applicable. Complete rest in this population may not be realistic or necessary. Early and accurate diagnosis of nerve injury is important for safe return to dance or instrumental music.

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Musculoskeletal mimics of cervical radiculopathy

Cited by 6 publications

References 38 publications

Integrating jigsaw puzzle thinking into practice: the assessment of cervical spine radiculopathy

Integrating jigsaw puzzle thinking into practice: the assessment of cervical spine radiculopathy

Examining the Forearm Intersection through Palpation and Ultrasonography

Peripheral nerve injuries in the performing artist

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