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Specifically, this test is used to evaluate for nerve root compression at C5-C7. It is often used when a patient presents with neck pain that radiates down the ipsilateral upper extremity. [2] The patient's shoulder is abducted by lifting the affected arm above their head either actively or passively.
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.
Head trauma, Tumor, Stroke Focal neurologic signs , also known as focal neurological deficits or focal CNS signs , are impairments of nerve , spinal cord , or brain function that affects a specific region of the body, e.g. weakness in the left arm, the right leg, paresis , or plegia .
“Dull pain radiating to the jaw, neck, back, shoulder or arm; stabbing pain radiating to the back; constant, dull pain for several minutes.” None of these are a good sign, he says.
The patient rotates their head to the affected side and extends their neck, while the examiners applies downward pressure to the top of the patient's head. 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.
The neurogenic type is the most common and presents with pain, weakness, paraesthesia, and occasionally loss of muscle at the base of the thumb. [1] [2] The venous type results in swelling, pain, and possibly a bluish coloration of the arm. [2] The arterial type results in pain, coldness, and pallor of the arm. [2]
Forward head posture (FHP) [1] is an excessively kyphotic (hunched) thoracic spine. It is clinically recognized as a form of repetitive strain injury. [citation needed] The posture can occur in dentists, [2] surgeons, [3] and hairdressers, [4] or people who spend time on electronic devices.