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The dorsal ramus then turns to course posterior-ward before splitting into a medial branch and a lateral branch. Both these branches provide motor innervation to deep back muscles. In the neck and upper back, the medial branch is also responsible for providing sensory innervation of the skin; in the lower back, the lateral branch does so.
It supplies a twig to this muscle, receives a communicating filament from the posterior division of the first cervical, and then divides into a large medial and a small lateral branch. The medial branch (ramus medialis; internal branch), called from its size and distribution the greater occipital nerve, ascends obliquely between the Obliquus ...
It is a spinal nerve, specifically the medial branch of the dorsal primary ramus of cervical spinal nerve 2. It arises from between the first and second cervical vertebrae, ascends, and then passes through the semispinalis muscle. It ascends further to supply the skin along the posterior part of the scalp to the vertex.
After they branch off the dorsal rami, they pass through the erector spinae muscle, psoas major, paraspinal muscles, and then inferior latissimus dorsi to reach the iliac crest. [ 5 ] The nerves then pass through an osteofibrous tunnel created by the thoracolumbar fascia and rim of the superior iliac crest. [ 6 ]
The medial cutaneous branches of the posterior divisions of the thoracic nerves descend for some distance close to the spinous processes before reaching the skin, while the lateral branches travel downward for a considerable distance—it may be as much as the breadth of four ribs—before they become superficial; the branch from the twelfth thoracic, for instance, reaches the skin only a ...
The posterior ramus is far removed from herniating or bulging discs. The fourth criterion clinches the diagnosis: pain relieved by injection of local anesthetic into the correct facet joint. This diagnostic procedure can also be therapeutic; the injection of steroids or radiofrequency denervation of the medial branch can be added for refractory ...
The suboccipital nerve (first cervical dorsal ramus) is the dorsal primary ramus of the first cervical nerve (C1). It exits the spinal cord between the skull and the first cervical vertebra, the atlas. [1] It lies within the suboccipital triangle along with the vertebral artery, where the artery enters the foramen magnum.
At the medial lemniscus, axons from the leg are more ventral, and axons from the arm are more dorsal. Fibres from the trigeminal nerve (supplying the head) come in dorsal to the arm fibres, and travel up the lemniscus too. The medial lemniscus rotates 90 degrees at the pons. The secondary axons from neurons giving sensation to the head, stay at ...