Cervical Radiculopathy Case Study

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis

Some of the injuries that can occur in the hand are Cubital Tunnel Syndrome and Carpal Tunnel Syndrome along with many more. Cubital Tunnel Syndrome causes pain or numbness in the ring and little fingers, but could also go to the arm (Types of RSI, 2010). Occurs when the ulnar nerve is pinched along the elbow’s edge (“funny bone”), and has tingling or painful feeling (Types of RSI, 2010). Cubital Tunnel Syndrome can be treated by avoiding putting pressure on the “funny bone” (Types of RSI, 2010). Cubital could lead to surgery if the nerve needs to be relieved. Carpal Tunnel Syndrome is similar to Cubital but occurs in the three first fingers. A major nerve is compressed which passes over the carpal bones through the front of the wrist (ASSH, 2015). When the nerve is compressed it causes painful, tingling and numbness in the first three fingers (ASSH, 2015). Carpal Tunnel Syndrome can be treated without surgery by changing the patterns of hand use and/or wearing wrist splints at night (ASSH, 2015). If severe then surgery can take place to make the nerve have more

Scharf utilized Diagnosis Related Estimate cervical category II and assigned an 8% Whole Person Impairment. Dr. Scharf noted the MRI study of the cervical spine right disc extrusion at C5-C6, but there are no verifiable radicular symptoms in light of the result of the EMG/NCV studies, despite the applicant’s subjective complaints of radicular symptoms into the bilateral upper extremities. Since there are no verifiable radicular symptoms, the placement into DRE category II seems appropriate.

Cubital tunnel syndrome is a condition that affects the ulnar nerve in the arm. The ulnar nerve runs along the medial portion of the arm, behind the medial epicondyle of the humerus, and down into the hand where it innervates the fifth digit and the medial half of the fourth digit, as well as controlling most of the little muscles for fine movement in the hand and larger muscles in the forearm used for grip strength (The American Center for Spine and Neurosurgery [ACSN], 2015). The ulnar nerve can become compressed in several locations as it travels down the arm from the neck, such as beneath the collarbone, at the elbow, or at the wrist. When this compression occurs at the elbow, is referred to as cubital tunnel syndrome. The ulnar nerve at the elbow is commonly referred to as your “funny bone”, but those who have had the pleasure of hitting it know that it is not funny.

Cervical degenerative disc disease is a common cause of neck pain and radiating arm pain. It develops when one or more of the cushioning discs in the cervical spine starts to break down due to wear and tear. There may be a genetic factor that predisposes some people to more rapid wear. Injury may also contribute and sometimes can cause the development of the degenerative changes. When cervical degenerative disc disease becomes indicated, the pain might develop slowly over time or appear suddenly. The signs can range from mild annoying neck aches to debilitating pain, numbness, and/or weakness that radiates into the arm and hand.

Radiculopathy must be documented by physical examination and corroborated by imaging studies and/or electrodiagnostic testing. In addition, no more than two nerve root levels should be injected using transforaminal blocks, and no more than one interlaminar level should be injected at one session. The patient is s/p C5-C7 anterior

DOI: 8/24/2008. Patient is a 55-year-old female manager who sustained injury to her neck and back when she slipped and fell while walking down a set of pull out stairs. Per OMNI, she is diagnosed with cervical strain with radiculopathy and lumbar radiculopathy. She underwent C5-6 partial corpectomy and fusion in 05/31/2011.

Have you or your loved one ever suffered from a pinched nerve? It is a painful condition that requires immediate medical attention. You can get treatment from the best pinched nerve Phoenix Arizona specialist for the condition. Patients suffering from this condition experience numbness or decreased sensation in the area supplied by the nerve. Many times there is a feeling of a tingling, "pins and needles" or a sharp or burning pain which is aggravated by coughing or sneezing. The feeling of twitching in the affected area is likely. While some individuals express it as their foot or hand has "fallen asleep."

Electrodiagnostic consultation report dated 10/02/15 revealed normal study of both upper limbs and cervical paraspinals. No evidence of cervical radiculopathy. No median or ulnar neuropathy.

On 01/03/2018, the claimant presented for a follow-up for the right wrist. She complained of pain and weakness in her right wrist/hand. The associated symptoms include joint pain, joint stiffness, weakness, pain, and decreased strength. Objective findings showed healed pin sites. There was less swelling, deformity, tenderness, and limited range of motion. She had a full range of motion in the fingers with popping in the wrist. She lacked full supination and pronation. Physical therapy was

The symptoms of pain, numbness, tingling or weakness are the result of the inflammatory process within the carpal tunnel that leads to compression of the median nerve. The compression and resulting impingement of the median nerve results in ischemia. The ischemia leads to the symptoms of numbness, tingling, pain and weakness of the hand and/or forearm. The FNP should inspect the wrist and hands of the patient with symptoms of CTS, looking for skin color and temperature changes, deformities and muscle wasting. The active and passive range of motion (ROM) of the neck, shoulders, elbows, wrists and fingers should be accessed. Muscle strength should be assessed at the shoulder, elbow, wrist and fingers. Spurling’s test for cervical radiculopathy should be performed. A plain x-ray can be ordered by the FNP if ROM of the wrist is limited. The FNP should also assess capillary refill of the fingers (Dunphy, Winland-Brown, Porter, & Thomas,

Pain in the outer elbow range commonly begins in a patient’s primarily dominant hand. The pain begins subtly as a tenderness and/or soreness, and escalates to pain doing everyday chores. Lifting a common milk jug, or turning the ignition key in one’s automobile may become a painful task as well.

Per progress report dated 02/26/2016, the patient had good response to corticosteroid injection; however, her symptoms have worsened now that she is working more. Examination reveals positive Tinel’s sign over the median nerve at the wrist. Carpometacarpal joint is also tender to palpation and has a positive passive flexion. Sensation testing to light touch reveals dysesthesias in the median nerve distribution. As per office notes dated 6/3/16, the patient

A 48-year-old female with numbness and tingling in the right hand. Positive electromyography. Failed conservative treatment care including bracing and/or injection.

Neck arthritis is a most typical cause of the cervical pain. It is useful for everyone to know, what is the arthritis in the neck and how it can be diagnosed at the early stage, when the conservative treatment is effective.