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Cervical Radicular Pain and Radiculopathy: Difference between revisions
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==Differentiating the Level== | ==Differentiating the Level== | ||
[[File:C6 and C7 radicular pain.png|thumb|right|500px]] | |||
It is not possible to distinguish C6 from C7 radiculopathy with a sensory examination of the so-called [[Dermatomes|dermatomes]]. The below picture is based off data from Rainville et al. <ref>{{#pmid:26253986}}</ref> The asterix indicates the only area where there is a statistical difference, with impaired in the distal radial aspect of the dorsal forearm more common in C6 than C7 radiculopathy. | It is not possible to distinguish C6 from C7 radiculopathy with a sensory examination of the so-called [[Dermatomes|dermatomes]]. The below picture is based off data from Rainville et al. <ref>{{#pmid:26253986}}</ref> The asterix indicates the only area where there is a statistical difference, with impaired in the distal radial aspect of the dorsal forearm more common in C6 than C7 radiculopathy. | ||
{{clear|both}} | {{clear|both}} | ||
==Shoulder Girdle Pain== | ==Shoulder Girdle Pain== | ||
[[File:Cervical radicular scapula pain.png| | [[File:Cervical radicular scapula pain.png|thumb|right|600px|(a)C5 and C8 cutaneous nerves traverse up and down the spine of the scapula, respectively, whereas the courses of C6 and C7 cutaneous nerves are not found. (b) The site of radicular pain involving the C6 root overlaps with that of the C5 root, and also involves the posterior deltoid.]] | ||
Scapular and shoulder pain can occur with cervical nerve root irritation. | Scapular and shoulder pain can occur with cervical nerve root irritation. | ||
Revision as of 20:31, 22 April 2021
This article is a stub.
Differentiating the Level
It is not possible to distinguish C6 from C7 radiculopathy with a sensory examination of the so-called dermatomes. The below picture is based off data from Rainville et al. [1] The asterix indicates the only area where there is a statistical difference, with impaired in the distal radial aspect of the dorsal forearm more common in C6 than C7 radiculopathy.
Shoulder Girdle Pain
Scapular and shoulder pain can occur with cervical nerve root irritation.
Mizutamari et al found the following pain referral pattern:
| Nerve root | Shoulder Girdle Region |
|---|---|
| C5 | Suprascapular region |
| C6 | Suprascapular to posterior deltoid region |
| C7 | Interscapular region |
| C8 | Interscapular and scapular regions |
References
Literature Review
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,
