Cervical Spine Nerve Root Exam - Everything You Need To Know - Dr. Nabil Ebraheim
Vložit
- čas přidán 25. 08. 2024
- Dr. Ebraheim’s educational animated video describes Cervical Spine Nerve Root examination and its indications.
Neck pain and shoulder pain or referred pain to the scapula may overlap. Shoulder pain tends to be located on the postero-lateral aspect of the deltoid muscle. Neck pain tends to be localized over the trapezius muscles and may radiate to the upper extremity. Radicular pain from irritation of a nerve root in the cervical spine is associated with paresthesia, numbness or weakness in the dermatomal distribution. The combination of shoulder pain and neck pathology is not uncommon.
•Herniated C4-C5 bulge: motor function: C5 shoulder abduction, C5 elbow flexion. Deltoid C5, biceps C5. Sensory C5. Biceps reflex is primarily C5.
•Herniated disc C5-C6 bulge: motor function: C6 elbow flexion, C6 wrist extension (extensor carpi radialis longus and brevis), biceps C6, wrist extensors C6. Sensory: thumb and radial hand. C6 brachioradialis reflex.
•Herniated disc C6-C7 bulge: C7 elbow extension, C7 wrist flexion, finger extension, triceps C7, wrist flexors C7. Sensory C7. C7 triceps reflex.
•Herniated disc C7-T1 bulge: C8 finger flexion (flexor digitorum superficialis).
•Herniated disc T1-T2 bulge: T1 abduction of the fingers (palmar interossei muscles (ulnar)). T1 sensory.
Test for cervical radiculopathy:
The Spurling's test is used to assess nerve root pain. The patient should be seated with the head turned towards the affected side and the clinician standing behind the patient. downward compressive force to the top of the patient’s head is applied. The test is positive when the compressive force being placed on the cervical spine causes radiating pain down the patient’s arm.
Shoulder abduction test: the patient’s symptoms are relieved by shoulder abduction and placing the hand over the head. This test helps to differentiate between cervical spine pathology and other causes of shoulder pain. It is an important test for the cervical radicular compressive disease. This is also important in regards to exam questions. The relief of the symptoms occurs due to decreased tension on the nerve roots.
Become a friend on facebook:
/ drebraheim
Follow me on twitter:
#!...
Background music provided as a free download from CZcams Audio Library.
Song Title: Stale Mate
I’ve been a nurse practitioner for 30 years now and I still use your videos. I have learned so much and continue to learn so much by watching the videos. Fantastic!
After watchng this video i came to know that i was facing c6 and c7 problem.Shame on Docters who can not recognize my problem even though i visited them time and again.
MRI. That proved mine
Dr. Ebraheims videos are some of the best.
Love all of Dr. Ebraheim's videos! They make understanding difficult topics so much easier to understand.
These are wonderful videos, I broke C! and C2 in a bad mountain bike crash and have a fusion with 5mm ti rods from C3 to scull base. I managed to get up
walk down steep mountain at Rocky Peak , Simi Valley, CA to ride in a pickup truck to hospital. I got up from intensive care and was able to walk out of the hospital
4 days later. God saved my life that day and Dr Gill my neuro surgeon says that I am 1% and maybe 1% of 1%. I am living proof miracles can happen so grateful to God.
This is very usefull video for doctors, Therapist & general Public .I am very much Thankfull to you.
What's aap sale number hai
Great video....all the symptoms of my c5 are right on with all demonstrations.
Couldn't be more better 🙏God bless you doctor
Smart work really great
Thank you, I can now see the impact of the conditions on my MRI report and translate them into my symptoms.
Thank you so much doctor, this is helping grasped some of the issues I'm having.... Appreciate you
I was diagnosed by C5 c6 c7 fisc bulge. ....plz help
Thank you so much.I have severe pain at both hands and wrist and wonder how to manage pain better at certain angles excruciating pain get the best of me to do nothing
I had carpal tunnel surgery which after 3 months my tendons are popping and hand is sore. What I see here is C6/C7 disc compression was causing my guitar hand finger numbness. I'm afraid I may have made the wrong decision to have carpal tunnel surgery without a C7 MRI. But Drs read the Nerve tests and the nerve analysis which said C7 and Carpal Tunnel indicated. So I went with the neurologist summary and the hand surgeon agreed without a C7 MRI. Every DR is specialized and willing to do surgery but not look for other causes. That is why I switched Drs to a DO as primary physician. I hope my guitar hand comes back 100% but it looks like it may be a long road. Rotator cuff DR is next I have MRI and I have partial tear.
Oo
this is great. I learned that my C-5 and C-6 are both messed up. Have to go in for testing but this helps to understand what's going on with me. Thank you!
Excellent video. Thanks
ماشإ اللہ زبردست
Thank you 🙏
Very nice useful massage... THQ u
வாழ்க வளமுடன்
Tamil language
Hi Dr. Ebraheim, thank you for the great video. ( You have some confusion at 3:54 where you are showing the palmar interossei and seem to imply that they are responsible for abduction. As you know, the palmar interossei are responsible for adduction and it is the dorsal interossei that are responsible for abduction.)
Very informative
feels like great journey with you sir..,
Well done...I am addicted of your videos
Very informative and useful for a layman like me.Thanks
Amazing Video As Usual
Tysm for the videos. Keep up the good work
Useful. Wish you'd included c3
اجمل فيديو بشوفو بحياتي
Thanks
Amazing visual aids.Thank you Dr. Nabil
ارجو الترجمة للعربي وشكرا لكم
That explains everything! Thank you. My numb fingers
.
As always excellent and well presented information. Thank you.
Thank you so much sir .🙏👍💯 help full. Super'''sir
Very informative video, thank you so much
I'm a C 3-4 (Complete) quadriplegic due to a motorcycle accident in 1970. The following is what has worked EXTREMELY WELL for me and I encourage anyone with a SCI (Spinal Cord Injury) to PLEASE check them out:
BLADDER = UROSTOMY / BOWLS = COLOSTOMY / PRESSURE SOARS = A CUSTOM SEAT CUSHION = BREATHING = By the grace of God I've never had pneumonia in my 47+ years as a quadriplegic. Which brings me to the topic of ETERNITY: John 14:6 Jesus said, "I am the Way the Truth and the Life, no one comes to my Father, except through Me". Fellow Quad. accept Him into your heart today to make Him Lord of your life and will have ALL ETERNITY to look forward to with no more wheelchairs and no more tears!
God bless you for your encouragement and compassion. What a upbeat attitude to have in spite of your suffering! You and I both know where that comes from. And it’s through your walk with Jesus Christ our Lord and savior!! 🙏🏼
🙏🏼🙌🏼❤️
❤
Greatly appreciated. Will speak to my Dr. His diagnosis was carpal tunnel syndrome.??? All this pain is result of elevator gate falling on my head in 2003
So smart and well explained 🙌🏼
شكرا دكتور عندي أنزلاق الفقرات العنقية السادسة والسابعة وانزلاق الفقرة الصدرية الأولى
Thank you so much for this video you hugely helped me grasp some concepts .
I do not have pain but I have Neuropathy of my hands and fingers. only. I did massage for 33 years. I can't sleep on my right side only my left. So I assume nerve flow is the C5,6,7,8 and T1 are compressing the nerves in that area.
Janie
This is great and super helpful! Thank you
One of the best video for better understanding thanks
Excellent !
C7 C8, and T1 nerve root on left side
Moror narve
Good
شكراً جزيلاً
Best medical vedio thanks Dr Ibrahim
Does anyone know of a good poster or reference chart for an exam room wall? I'm not finding much out there that looks nice and has solid information on it?
God bless you doctor ❤
I came here cause I have all the symptoms. Of C5 and C6. Is there a nonsurgical treatment??
Boa noite! Sofri um acidente à 10 meses atrás onde tive emulsão de c7,c8 e t1,mas com 4 meses de acidente fui submetida a uma cirurgia de transferência nervosa. Hoje estou com 6 meses operada será que tenho alguma melhora na mão??
*avulsão
The doctor recently did some of these tests on my left side. He used the reflex hammer thing, but no reaction/jolt was produced. Why was there no jolt?
I do currently have a neck injury that has been there for close to a year, and currently have an ache that radiates down into my thumb and the neck pain increases when I twinge it sometimes.
thanks much...
This great awasome very help
What can we do for the neck pain of cervical stenosis?
super
Awesome dude.
Self diagnosing, seems likely so far
I have tinitus, left side, my x ray shows, cervical SPONDLOYS, e. N. T. Dr said that ears are perfect, now I have tinitus, neck pain shoulder pain, ear burning on sides, some times eye flatters, wrist, fingers pain, low back pain, knees and feet pain,
And also, tinitus on forward neck bending
Now, suggest, that my which nerve is pinched in neck, and which tests should I perform, because vit. C, vit d, traction, stimulation, suggested by cervical dr is not working, or working but for some days, and not working in tinitus
Ahzar . El Ha Stazy ! Zip Kaber ,
Good vid
I got mommy's wrist and after that pain started from wrist to shoulder and nw my back bone. Can u plz suggest
Love your videos! Really assisting in my anatomy course. Curious what is the name of the music on this particular slideshow? Love it too!
C5 and C7. The source of my pain.
Does a c5- c6 herniation disk can cause chest pain sometimes? My pain is in my lert inner bicep, under arm(axila) back, forearm and wrist...it feels heavy, tingling, numb and I feel like electrical shocks simetimes...it is weak as well.
Just curious to see if your still experiencing the symptoms.
@michaelflores9796 I still have that, I am thinking it is a slipped rib syndrome, the pain is awful and all my labs, x-rays, CT scans, MRIs are normal, don't know what could it be.
Wow I have the same symptoms and my mri came back herniation on c6c7.
@michaelflores9796 Yes, I'm seeing my doctor to see if they can diagnose the slipping rib syndrome because my body now is crooked, my right shoulder is higher than the left, I think I have a lot more than a herniation. I hope you find the medical care you need soon! 🙏
Should I go for a chiropractor for this or go for a physiotherapist
I suppose it really depends who you ask................Most conventional Dr's I have ever talked to about my spine do not like Chiropractors, but hey will refer you to physio's all day long. I don't think conventional Dr's really understand what they do, IMO, yet they (chiro's) have helped me the most out of anyone I have ever seen, over the longest time. There are some physio's that can do very similar things to what a Chiro can do but they are few and far between. The interesting thing is that my chronic pain specialist says to do what ever helps me............. and believe me I do. I use anything that works, out of any camp. Not a fan of surgery, I have managed to put cervical
eurosurgery off for over 3 decades. 2 weeks ago I finally had neurosurgery and honestly wish I had, had it done sooner. I'm not even sure which of the 3 surgeries I signed off on, I ended up having as yet.
عاوز اتعالج يا جدعااات
Baa kee koi video ha
Great video doc, but where did you get C8 from?
the spine is up til c7 but the nerve root is til c8, if that was your doubt
I like this....
What happens when your doctor tries, to help you get treatment done but can't find anyone to treat your symptoms painful living in the state of pain every day of your life
very helpful
Doctor is God
No creature that was born is God.
I get what you are trying to say in response to the other poster's bizarre remark, @@chief_islxm, but I have to add, for total accuracy, except for when the Omnipotent Spirit Who created the Universe & identified Himself to Abraham & his lineage as "Yahweh" created for Himself a Human Body in the womb of the Jewish young woman Mary & came into the world with the Human Personhood & Identity called "Jesus the Christ," or, more simply & usually, "Jesus Christ," or, most simply, "Jesus," which name actually includes His name "Yahweh," & means "Yahweh is Savior." (Rf. Isaiah 7:10-14; 9:6-7; 1 Timothy 3:16; Revelation 1:8; John 20:27-29; Acts 20:28; etc.)
Be blessed. 🙏🏼
Shame my doctor does none of these tests, in fact she won't even write notes most of my visits even though I have proof of cervical spine damage.Welcome to the doctors of Australia today.
They are not all bad. I put off cervical neurosurgery for over 3 decades because I simply didn't feel comfortable with any of the surgeons, I came across. I eventually had a big neurosurgery a fortnight ago. I couldn't have asked for better care or treatment and had a surprising little pain afterwards and far more flexibility than I had before hand. Can't wait to see if I can swim properly in a month or so's time.
It will cure or this is life long 😧😖😖
Hi
mañana no me pillai gutierrez!!!
Food knowledge
👍👍👍👍👍
thoracic ka bejp❤
Stimulator use video
Bpi
welp c7 and t1, all that taser juice fried something in there
အဂ်လိပ်လိုပြောနေတော့ကျွန်တော်တို့လိုစာမတက်တဲ့သူတွေအဖို့တော့နားမလည်ဘူးပုံဘဲကည့်နေရတယ်
G
We are biological robots
Sir please your namber
Fml
Thanks