Category: Upper Back Pain

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, Clinical Tests, Lower Back Pain, Neck Pain, Neurologic, Upper Back Pain

Lhermitte’s Sign

Purpose of Lhermitte’s Sign: To determine if there is a dural or meningeal irritation in the spine or to check if the dorsal column of the spinal cord is hyperexcitable due to demyelination. Patient position: Long sitting. Examiner position: Standing beside the examining table while the patient is in a long sitting position. Procedure: The examiner performs a gentle, passive flexion of the patient’s neck … Continue reading Lhermitte’s Sign

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

Jackson’s compression test

Purpose of Jackson’s compression test: To identify the presence of cervical radiculopathy among patients with upper quadrant pain. Patient Position: Sitting upright. Examiner Position: Beside or behind the patient. Procedure: Ask the patient to turn/rotate the head to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Outcome: The test is positive if the patient has radiating pain down the arm on … Continue reading Jackson’s compression test

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