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A herniated cervical disc (Get help for your home work)
A herniated cervical disc can result in cervical nerve root impingement, or cervical cord compression. These conditions can cause referred pain to the posterior neck and shoulder which may radiate to the arm and forearm. Therefore cervical cord or nerve root impingement should always be assessed and patients with shoulder pain. Importantly, unlike intrinsic and acromioclavicular shoulder conditions, patients with cervical nerve root impingement or cervical cord compression have normal shoulder range of motion in cervical nerve root impingement radicular pain patterns and dermatomes may involve the internal letter alarm C five root lateral arm and radial forearm C six root and lateral arm and dorsal forearm C seven route cervical nerve root impingement is unlikely in this patient because he denies pain radiation in the arm or hand and denies arm weakness, loss of grip strength and arm or hand numbness or paraesthesia says he has no neurologic deficits and the biceps C five c six and triceps C 78 reflexes are intact. cervical cord compression or cervical myelopathy is unlikely in the absence of neck trauma, history of malignancy and paired leg function or gait. Or bladder or bowel dysfunction. Further on physical examination, neurologic findings are intact. These include the motor and sensory systems and reflexes in both the upper and lower extremities. (Get help for your home work)
A herniated cervical disc can result in cervical nerve root impingement, or cervical cord compression. These conditions can cause referred pain to the posterior neck and shoulder which may radiate to the arm and forearm. Therefore cervical cord or nerve root impingement should always be assessed and patients with shoulder pain. Importantly, unlike intrinsic and acromioclavicular shoulder conditions, patients with cervical nerve root impingement or cervical cord compression have normal shoulder range of motion in cervical nerve root impingement radicular pain patterns and dermatomes may involve the internal letter alarm C five root lateral arm and radial forearm C six root and lateral arm and dorsal forearm C seven route cervical nerve root impingement is unlikely in this patient because he denies pain radiation in the arm or hand and denies arm weakness, loss of grip strength and arm or hand numbness or paraesthesia says he has no neurologic deficits and the biceps C five c six and triceps C 78 reflexes are intact. cervical cord compression or cervical myelopathy is unlikely in the absence of neck trauma, history of malignancy and paired leg function or gait. Or bladder or bowel dysfunction. Further on physical examination, neurologic findings are intact. These include the motor and sensory systems and reflexes in both the upper and lower extremities.A herniated cervical disc