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Kehr's sign is a classic example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone. This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic nerve, C3, C4, and C5. [citation needed]
Pain arising from structures supplied by the phrenic nerve is often "referred" to other somatic regions served by spinal nerves C3-C5. For example, a subphrenic abscess beneath the right diaphragm might cause a patient to feel pain in the right shoulder. Irritation of the phrenic nerve (or the tissues it supplies) leads to the hiccup reflex.
Although the diaphragm is mostly innervated by the phrenic nerve, and thus could explain referred pain to the shoulder tip region, the main evidence against diaphragmatic ischemia is that ETAP can be induced by activities of low respiratory demand, such as horse, camel, and motorbike riding, where ischemia of the diaphragm is unlikely.
Home remedies for many causes of joint pain include resting the affected joint and using hot and cold therapy. Hot and cold therapy involves alternating a source of warmth like a heating pad with ...
Numerous medical remedies exist but no particular treatment is known to be especially effective, generally because of a lack of high-quality evidence. [23] [24] A vagus nerve stimulator has been used with an intractable case of hiccups. "It sends rhythmic bursts of electricity to the brain by way of the vagus nerve, which
Other areas of the nervous system that have been affected are the phrenic nerves and the recurrent laryngeal nerve. As the nerves lose function, the muscles associated with those nerves begin to atrophy. In brachial plexus degeneration, atrophy may occur in the deltoid muscles. In phrenic nerve degeneration, the diaphragm may be affected.
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
A dad, 45, had what seemed like a pinched nerve. It was a sign of a cancerous thymoma. Chest pain, shortness of breath were signs of his thymoma.
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