Category: Neck Pain

Cervical, Evidence Based Practice, Home, Manual Therapeutics, Neck Pain

Unveiling Rarity: Horner Syndrome Caused by Cervical Disc Herniation

Johann Friedrich Horner originally described the Horner syndrome (HS) in humans in 1869 (van der Wiel HL. 2002). HS is caused by a disruption in the oculosympathetic circuit between the hypothalamus and the orbit (Amonoo-Kuofi HS, 1999). The characteristic trio of ipsilateral eyelid ptosis, miosis, and face anhidrosis is what distinguishes HS. There are numerous causes of HS, but herniated cervical disc (HCD) is a … Continue reading Unveiling Rarity: Horner Syndrome Caused by Cervical Disc Herniation

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Cervical, Diagnostic Skills, Evidence Based Practice, Home, Manual Therapeutics, Neck Pain, Neurologic, Thoracic, Upper Back Pain

Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

Brown-Sequard Syndrome, as delineated in 1849 by Brown-Se´quard CE, emanates from trauma inflicted upon the anatomical hemicord. This trauma precipitates disruption of the descending lateral corticospinal tracts, the ascending dorsal columns (both of which decussate in the medulla), and the ascending lateral spinothalamic tracts, which intersect within one or two levels of the dorsal root entry. While total hemisection, evoking the hallmark clinical features of … Continue reading Unraveling the Enigma: Rare Brown-Sequard Syndrome Arising from Cervical Disc Herniation

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Back, Cervical, Clinical Tests, Neck Pain, Thoracic, Upper Back Pain

Spurling’s test

Spurling’s Test: The purpose is to identify the presence of cervical radiculopathy among patients with upper quadrant pain. (1, 2). Patient Position: Sitting upright. Examiner Position: Standing beside or behind the patient. Procedure: Move the patient’s head into lateral flexion/rotation to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Bradley et al. suggestions: Compress the head in neutral position. … Continue reading Spurling’s test

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Back, Cervical, Clinical Tests, Legs, Neck Pain, Thoracic, Upper Back Pain

Soto-Hall Test

Purpose of Soto-Hall Test: To determine if there is a fracture or a lesion of the lower cervical and/or thoracic vertebral joints (1) or to apply traction on the spinal cord and find if there is mass such as a tumour (2). Patient position: Supine lying. Examiner position: Beside the patient, Standing at the patient’s head side. Procedure: Perform the limb/joint positioning sequence in the … Continue reading Soto-Hall Test

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Back, Cervical, Clinical Tests, Hip, Knee, Legs, Lower Back Pain, Lumbar, Neck Pain

Slump (long sitting) Test 4

Slump (long sitting) Test 4 – Spinal Cord, Sciatic Nerve, Cervical, and Lumbar Nerve Root Bias Purpose of Slump (long sitting) Test 4: To determine if the tension along the spinal cord, sciatic nerve, and cervical and lumbar nerve roots contribute to the neurologic symptoms associated with radiculopathy. Patient position: Long sitting on the examination table (as upright as tolerated) with hands behind the back. … Continue reading Slump (long sitting) Test 4

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