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The shoulder abduction relief test, also called Bakody's test, is a medical maneuver used to evaluate for cervical radiculopathy. [1] Specifically, this test is used to evaluate for nerve root compression at C5-C7. It is often used when a patient presents with neck pain that radiates down the ipsilateral upper extremity. [2]
Radiculopathy can result in pain (radicular pain), weakness, altered sensation (paresthesia) or difficulty controlling specific muscles. [1] Pinched nerves arise when surrounding bone or tissue, such as cartilage, muscles or tendons, put pressure on the nerve and disrupt its function. [2]
The cervical spinal nerve 7 (C7) is a spinal nerve of the cervical segment. [1] It originates from the spinal column from above the cervical vertebra 7 (C7). It runs through the interspace between the C6 and C7 vertebrae.
The patient rotates their head to the affected side and extends their neck, while the examiners applies downward pressure to the top of the patient's head. A positive Spurling's sign is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. [1] It is a type of cervical compression test.
Spinal decompression is the relief of pressure on the spinal cord or on one or more compressed nerve roots passing through or exiting the spinal column. [1] Decompression of the spinal neural elements is a key component in treating spinal radiculopathy , myelopathy and claudication .
This is true for all spinal nerves except for the first spinal nerve pair (C1), which emerges between the occipital bone and the atlas (the first vertebra). [3] Thus the cervical nerves are numbered by the vertebra below, except spinal nerve C8, which exists below vertebra C7 and above vertebra T1.
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Radicular pain, or radiculitis (from the Latin: radicula, lit. 'small root'), is pain "radiated" along the dermatome (sensory distribution) of a nerve due to inflammation or other irritation of the nerve root ( radiculopathy ) at its connection to the spinal column . [ 1 ]
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