Hey there,
I'm just a yr 1 PT student,
and i would like to know more about the neck pain case...pls throw ur ideas
over there..
Why is that a lesion on C567 will cause the P/N in lower limbs??
>From: "asheehan" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: <[log in to unmask]>
>Subject: Fw: Neck pain
>Date: Wed, 5 Apr 2000 22:59:20 +0100
>
>-----Original Message-----
>From: sycamore <[log in to unmask]>
>To: [log in to unmask] <[log in to unmask]>
>Date: 05 April 2000 16:58
>Subject: Re: Neck pain
>
>
> >Dear List,
> >
> >Clinical scenario: 31 year old female presents with neck pain and pain
>into
> >the suprascapular region as far as the shoulders, pain equal both sides.
>No
> >arm pain but very occasionally gets pins and needles into her right hand
>,
> >glove distribution. Neuro normal. Neck movements all good except
>extension
> >slightly limited. However right side flexion brings on the pins and
>needles.
> >Otherwise neuro all normal. History of R.T.A. when she was eighteen . Had
> >neck pain then but went away. Now, has had pain for last year, but worse
> >lately. Turn her on her tummy and palpate. Stiffness and pain reproduced
> >locally over C5, C6, And C7. Get her up and re-assess no big change
>except
> >'feels freer' so slightly better. However right side flexion still
> >reproduces pins and needles. Lie her down again on her tummy and she
>reports
> >pins and needles feeling in both her legs. Goes after a minute or two.
> >What is the physiological basis for pins and needles in the lower limb
>from
> >palpating C5, C6. and C7.
> >My feelings are that she may be a large disc centrally putting pressure .
> >
> >Recently also had a patient who presented with an acute cervical disc,
>but
> >also complained of right sided leg pain. What is the explanation for
>this?
> >Palpated lumbar spine, not a separate problem.
> >
> >Any ideas?
> >
> >Aileen Sheehan. M.C.S.P., M.A.C.P.
> >Galway, Ireland.
> >
> >
> >
>
>
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