to Radiculopathy Penn State University方法对神经根型颈椎病宾夕法尼亚州立大学ppt课件.ppt

Cervical and low back pain and radiculopathy;Learning Objectives:;Back and neck pain:;Somatic pain:;Pain sensitive structures:;Pain sensitive structures:;Somatic pain:;Referred pain from stimulation of zygapophyseal joints;Somatic pain: Summary ;Radicular pain:;Radicular pain:;dura;Radicular pain:;Dermatome;Myotome;Types of peripheral nerve injury:;Radiculopathy: Summary;Radiculopathy: Provocative maneuvers;Reflexes:;In the cervical spine: Nerve roots exit above their named vertebral body I.e., C7 exits below C6 and above C7-so lateral disk herniation here gets C7 In the lumbar spine: Spinal cord ends at L1 or L2 Nerve roots travel long distances then exit below their named vertebral body The lumbosacral nerve roots are susceptible to injury at multiple locations T11-L1—anterior horn ;L4-L5 lateral disk herniation Usually will compress the L5 nerve root L5-S1 lateral disk herniation Usually will compress the S1 nerve root These are the general rules and anatomy to remember for the cervical and lumbosacral spine…;But in the LS spine there are exceptions!;Cauda equina and conus medullaris syndromes:;Cauda equina and conus medullaris syndromes:;Cauda equina and conus medullaris syndromes:;Cauda equina and conus medullaris;Summary: Neurologic features of LS radiculopathy;Summary: Neurologic features of cervical radiculopathy;Radiculopathy: Etiology besides herniate disk which is most common;Radiculopathy: Etiology;Severe radicular pain in All extermities, lime disease White over everything;Differential diagnosis of radiculopathy:;Differential diagnosis of radiculopathy:;Imaging: Indications ;Imaging: Indications ;Imaging: Modalities;‘Red flags’:;Treatment of radiculopathy:;Empiric treatment of radiculopathy:;Empiric treatment of radiculopathy: