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The radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features. Polyradiculopathy refers to the condition where more than one spinal nerve root is affected.
Radicular pain, or radiculitis (from the Latin: radicula, lit. 'small root'), is pain "radiated" along the dermatome (sensory distribution) of a nerve due to inflammation or other irritation of the nerve root ( radiculopathy ) at its connection to the spinal column . [ 1 ]
The restored text says "Radiculopathy may also manifest in an extremity through a process called referred pain, where pain is not felt in the spine at all, just in the extremity." - however, this is not correct. If the extremity pain is 'referred pain', then it is not 'radicular pain' and should not be confused with a radiculopathy.
Referred pain, also called reflective pain, [1] is pain perceived at a location other than the site of the painful stimulus.An example is the case of angina pectoris brought on by a myocardial infarction (heart attack), where pain is often felt in the left side of neck, left shoulder, and back rather than in the thorax (chest), the site of the injury.
assess nerve root pain The shoulder abduction relief test , also called Bakody's test , is a medical maneuver used to evaluate for cervical radiculopathy . [ 1 ] Specifically, this test is used to evaluate for nerve root compression at C5-C7.
A positive Spurling's sign is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. [1] It is a type of cervical compression test. Patients with a positive Spurling's sign can present with a variety of symptoms, including pain, numbness and weakness.
In people who have arthritis, referred knee pain can often delay the diagnosis of a hip problem. An extreme but straightforward example of the referred pain concept is in the case of heart attacks ...
Radiculopathy (with or without radicular pain), [20] a neurologic condition in which nerve root dysfunction causes objective signs such as weakness, loss of sensation, and loss of reflex. Cauda equina syndrome: [22] lower extremity pain, weakness, numbness that may involve perineum and buttocks, associated with bladder and bowel dysfunction.