compression neuropathies

Question 1

signs and symptoms of a upper radiculopathy

Answer 1

pain in the neck that radiates down the arm to a specific region in the hand

numbness and weakness along a specific distribution

Question 2

UE radiciulopathy is usually caused by a nerve impingement at the level of the cervical spine - what are the most common causes

Answer 2

disc degeneration
disc herniation
degenerative arthritis

Question 3

test for UE radiculopathy

Answer 3

neck compression/spurlings test

Question 4

spurling test

Answer 4

rotate and side bend head toward affected side
extend head
add compression

**pain radiating down the arm or tingling is positive
*if contralateral arm has symptoms may be due to contralateral scalene causing impingement

Question 5

UE plexopathy symptoms

Answer 5

intermittent numbness and tingling
pain not consistent with 1 nerve root
generalized weakness

Question 6

UE plexopathy aka

Answer 6

thoracic outlet syndrome

Question 7

tests for UE plexopathy/thoracic outlet syndrome

Answer 7

roos east test (general)
adsons (scalene)
adsons (1st and 2nd rib)
clavicle (military brace)
pectoralis minor (wrights hyperabduction)

Question 8

adsons test

Answer 8

monitor radial pulse
**test for scalene compression causing plexopathy

extend and slightly abduct patient arm, have them inhale look at their hand and hold their breath

breath and return to neutral

inhale and look other direction and hold breath

***loss of pulse/reproduction of symptoms (while looking at hand is a rib/clavicle problem), looking away is a scalene problem

Question 9

military brace

Answer 9

supinate, extend and abduct patients arm behind them while monitoring the radial pulse
apply infraclavicular force at the shoulder

**obliteration of pulse is positive

Question 10

wright hyperabduction

Answer 10

test for pectoralis minor causing plexopathy

monitor radial pulse and abduct , externally rotate arm, flex elbow to 45 degrees and hold for 1 mint

then repeat with hyperabduction (arm by the ear)

**positive is obliteration of pulse

Question 11

cubital tunnel

Answer 11

numbness and tingling of the median forearm to the 4th and 5th digit

-ulnar nerve

(tinel test, froments sign)

Question 12

froments sign is _ nerve entrapment and the _ must contract

Answer 12

ulnar

flexor pollicis longus

Question 13

pronator teres mononueropathy

Answer 13

median nerve palsy

pain in anterior proximal forearm

numbness and tingling in forearm

radiates to wrist and first 3 digits

(weakness in grip strength)

Question 14

medican nerve assessment test

Answer 14

OK sign

weakness of index finger DIP and thumb IP
weak flexor digitorum profundis and flexor policies longus

Question 15

medical epicondyle CS

Answer 15

F PRO Add

Question 16

wrist pain, intermittent during the day, dull achey, numbness/tingling in the first 3 digits of the hand

night pain radiating proximally

Answer 16

carpa; tunnel

Question 17

carpal tunnel tets

Answer 17

tines sign , phalanx test

Question 18

what is the most commonly affected LE nerve roots

Answer 18

L5-S1

Question 19

L5-S1 is most commonly affected by?

Answer 19

herniated disc

Question 20

L5-S1 mononeuropathy symptoms

Answer 20

pain down 1 leg that will involve the posterolateral leg from butt to leg/ankle/foot

always look for red flags!!!!- weight loss, fever, chills, loss of bowel control

Question 21

SLR

IT band
neurologic
mechanical

Answer 21

15-30: IT band tightness

30-60- lumbar L4-S1 herniation , lumbosacral radiculopathy, sciatica

> 70 mechanical low back pain

Question 22

resisted SLR=

Answer 22

femoral acetabular impingement and SCFE

Question 23

lower pole L5 CS

Answer 23

F IR Add

Question 24

upper pole L5

Answer 24

E add ER

Question 25

high ilium sacroiliac

Answer 25

E EBD ER

Question 26

what is piriformis syndrome

Answer 26

peripheral neuritis of the sciatic nerve caused by any condition of the piriformis muscle

need to rule out sciatica

Question 27

piriformis syndrome symptoms

Answer 27

pain sitting, standing, or laying longer than 15 minutes

pain and tingling down the gluteal region stopping above the knee

contralateral SI pain

antalgic gait

Question 28

piriformis specialty test

Answer 28

FAIR

Question 29

piriformis counterstain

Answer 29

F ABD ER

Question 30

neuralgia parsthetica

Answer 30

lateral femoral cutaneous nerve entrapment under the inguinal ligmament

numbness/tingling on anterolateral thigh
hyperesthesia cant put anything into pockets
trophic skin changes

Question 31

where is tines sign for neuralgia prosthetics

Answer 31

1 cm medial and inferior to ASIS

Question 32

common fibular nerve

Answer 32

L4-S2

foot drop

fibular nerve winds around fibular neck- compression here

**saturday night palsy

Question 33

tarsal tunnel

Answer 33

posterior tibial nerve compression in the tarsal tunnel behind the medial malleolus by the flexor retinaculum

pain in plantar foot, burning, tingling, numbness