Cervical Pain Maps: Difference between revisions
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{{main|Chronic Post-Traumatic Neck Pain}} | {{main|Chronic Post-Traumatic Neck Pain}} | ||
===Cervical Pain Maps for Medial Branch Blocks | ===Symptomatic Patients=== | ||
====Cooper et al==== | |||
;Cervical Pain Maps for Medial Branch Blocks | |||
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Full Image: [[:File:Cervical Pain Maps Grid.jpg]] <ref>{{#pmid:17610457}}</ref> | Full Image: [[:File:Cervical Pain Maps Grid.jpg]] <ref>{{#pmid:17610457}}</ref> | ||
;Probabilities | |||
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File:Probability 1.jpg|Probabilities C1-C4 | File:Probability 1.jpg|Probabilities C1-C4 | ||
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<small>Images Copyright © 2020 American Academy of Pain Medicine</small> | <small>Images Copyright © 2020 American Academy of Pain Medicine</small> | ||
====Fukui et al==== | |||
61 symptomatic patients with suspected facet joint pain. Pain reproduced by injection of contrast medium into the joints or by electrical stimulation of the dorsal rami. Below shows the main pain distributions from C0-1 to C7/T1, and the dorsal rami C3 to <ref>{{#pmid:C7.9252002}}</ref> | |||
[[File:Cervical facet joint pain map fukui.png|400px]] | |||
===Normal Volunteers=== | ===Normal Volunteers=== | ||
====Dwyer et al==== | |||
Pain maps with noxious stimulation of cervical facet joints in volunteers,<ref>{{#pmid:2402682}}</ref> which was then validated against symptomatic patients.<ref>{{#pmid:2402683}}</ref> | Pain maps with noxious stimulation of cervical facet joints in volunteers,<ref>{{#pmid:2402682}}</ref> which was then validated against symptomatic patients.<ref>{{#pmid:2402683}}</ref> | ||
Revision as of 18:09, 23 May 2021
Facetogenic Pain
- Main article: Chronic Post-Traumatic Neck Pain
Symptomatic Patients
Cooper et al
- Cervical Pain Maps for Medial Branch Blocks
C1-2
C2-3
C3-4
C4-5
C5-6
C6-7
C0-3
Blank Grid
Images Copyright © 2007 American Academy of Pain Medicine
Full Image: File:Cervical Pain Maps Grid.jpg [1]
- Probabilities
Probabilities C1-C4
Probabilities C4-C7
Images Copyright © 2020 American Academy of Pain Medicine
Fukui et al
61 symptomatic patients with suspected facet joint pain. Pain reproduced by injection of contrast medium into the joints or by electrical stimulation of the dorsal rami. Below shows the main pain distributions from C0-1 to C7/T1, and the dorsal rami C3 to [2]
Normal Volunteers
Dwyer et al
Pain maps with noxious stimulation of cervical facet joints in volunteers,[3] which was then validated against symptomatic patients.[4]
Radicular Pain
- Main article: Cervical Radicular Pain
![Based off data from Rainville et al. 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[5]](/w/img_auth.php/thumb/1/1d/C6_and_C7_radicular_pain.png/500px-C6_and_C7_radicular_pain.png)
Based off data from Rainville et al. 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[5]
(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.
![Based off data from Rainville et al. 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[5]](/wiki/File:C6_and_C7_radicular_pain.png)
Interspinous Ligaments
Referred pain patterns from noxious stimulation of the cervical interspinous ligaments. Kellgren 1939.
References
- ↑ Cooper et al.. Cervical zygapophysial joint pain maps. Pain medicine (Malden, Mass.) 2007. 8:344-53. PMID: 17610457. DOI.
- ↑ PubmedParser error: Invalid PMID, please check. (PMID: C7.9252002)
- ↑ Dwyer et al.. Cervical zygapophyseal joint pain patterns. I: A study in normal volunteers. Spine 1990. 15:453-7. PMID: 2402682. DOI.
- ↑ Aprill et al.. Cervical zygapophyseal joint pain patterns. II: A clinical evaluation. Spine 1990. 15:458-61. PMID: 2402683. DOI.
- ↑ Rainville et al.. Exploration of sensory impairments associated with C6 and C7 radiculopathies. The spine journal : official journal of the North American Spine Society 2016. 16:49-54. PMID: 26253986. DOI.
