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In terms of the signs/symptoms of ulnar neuropathy trauma and pressure to the arm and wrist, especially the elbow, the medial side of the wrist, and other sites close to the course of the ulnar nerve are of interest in this condition. Many people complain of sensory changes in the fourth and fifth digits.
Ulnar neuropathy at the cubital tunnel is diagnosed based on characteristic symptoms and signs. Intermittent or static numbness in the small finger and ulnar half of the ring finger, weakness or atrophy of the first dorsal interosseous, positive Tinel sign over the ulnar nerve proximal to the cubital tunnel, and positive elbow flexion test (elicitation of paresthesia in the small and ring ...
Affected persons usually feel dull pain in the lumbar spine that can radiate into the buttocks and legs. Typically, the pain is worsened by stress on the facet joints, e.g. by lumbar extension and loading (the basis of the Kemp test) or lateral flexion but also by prolonged standing or walking. [citation needed]
In 1762, Andre Louis, a surgeon, removed a bullet from the lumbar spine of a patient, who regained motion in the legs. [154] In 1829, Gilpin Smith, a surgeon, performed a successful laminectomy that improved the patient's sensation. [155] However, the idea that SCI was untreatable remained predominant until the early 20th century. [156]
Despite this, the use of imaging in low back pain has increased. [10] Some low back pain is caused by damaged intervertebral discs, and the straight leg raise test is useful to identify this cause. [5] In those with chronic pain, the pain processing system may malfunction, causing large amounts of pain in response to non-serious events. [11]
Dysesthesia is distinct in that it can, but not necessarily, refer to spontaneous sensations in the absence of stimuli. In the case of an evoked dysesthetic sensation, such as by the touch of clothing, the sensation is characterized not simply by an exaggeration of the feeling, but rather by a completely inappropriate sensation such as burning.
Axial arthritis may begin in the sacroiliac joints and work its way up to the cervical spine over time. Spinal abnormalities such as flattening of the lumbar lordosis , exaggeration of the thoracic kyphosis , and hyperextension of the cervical spine lead to limited spinal motion.
Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.