Volume 29, Issue 2 (Aug 2022)
J Birjand Univ Med Sci. 2022, 29(2): 177-184 |
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Research code: 99-1-101-48099
Ethics code: IR.TUMS.IKHC.REC.1398.068
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Emami Razavi S Z, Hoseini M, Farrokhi R, Kazemi S, Azadvari M. Electrodiagnostic Evaluation of cervical root involvement among patients presenting with radicular pain: Short Communication. J Birjand Univ Med Sci. 2022; 29 (2) :177-184
URL: http://journal.bums.ac.ir/article-1-3173-en.html
URL: http://journal.bums.ac.ir/article-1-3173-en.html
Seyede Zahra Emami Razavi1 
, Maryam Hoseini1 , Raziyeh Farrokhi2 , Shahrbanoo Kazemi3 , Mohadeseh Azadvari * 4
, Maryam Hoseini1 , Raziyeh Farrokhi2 , Shahrbanoo Kazemi3 , Mohadeseh Azadvari * 4
1- Department of Physical Medicine and Rehabilitation, Imam Khomeini Hospital complex, Tehran University of medical sciences, Tehran, Iran
2- General practitioner, Imam Khomeini Hospital complex, Tehran University of medical sciences, Tehran, Iran
3- Department of Physical Medicine and Rehabilitation, Ziaean Hospital, Tehran University of medical sciences, Tehran, Iran
4- Department of Physical Medicine and Rehabilitation, Sina Hospital, Tehran University of medical sciences, Tehran, Iran , drazadvari@yahoo.com
2- General practitioner, Imam Khomeini Hospital complex, Tehran University of medical sciences, Tehran, Iran
3- Department of Physical Medicine and Rehabilitation, Ziaean Hospital, Tehran University of medical sciences, Tehran, Iran
4- Department of Physical Medicine and Rehabilitation, Sina Hospital, Tehran University of medical sciences, Tehran, Iran , drazadvari@yahoo.com
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Cervical spine pain is one of the most common problems of the spine and upper limbs, which can be axial or radicular. The present study aimed to electrodiagnostically evaluate cervical root involvement among patients presenting with radicular pain. The population was selected using simple random sampling from patients complaining of cervical radicular pain and unilateral or bilateral upper extremity that met the inclusion criteria. Out of 120 patients studied, 21 patients (17.5%) had cervical nerve root involvement, of which 14 were women (13.7% of patients) and 7 were men (38.8% of patients). The highest and lowest prevalence was related to C7 (37.1%) and C8 and T1 cervical roots (11.4% and 4.2), respectively. Four patients (19%) had only left cervical root involvement and 3 patients (14.2%) had right cervical root involvement and 14 patients (66.6% of patients) had bilateral cervical root involvement.
The most common neurological finding associated with CTS cervical radiculopathy was about 52%. Based on the findings, most patients complaining of cervical radicular pain and upper extremity to investigate cervical root involvement often have no cervical radiculopathy and may have neurological causes such as carpal tunnel syndrome or musculoskeletal causes such as myofascial pain. Radicular pain and some other causes of these disorders can be simultaneously observed, which emphasizes the proper and timely use of electrodiagnostic tests and accurate examinations to diagnose nerve root damage.
The most common neurological finding associated with CTS cervical radiculopathy was about 52%. Based on the findings, most patients complaining of cervical radicular pain and upper extremity to investigate cervical root involvement often have no cervical radiculopathy and may have neurological causes such as carpal tunnel syndrome or musculoskeletal causes such as myofascial pain. Radicular pain and some other causes of these disorders can be simultaneously observed, which emphasizes the proper and timely use of electrodiagnostic tests and accurate examinations to diagnose nerve root damage.
Type of Study: Short Communication |
Subject:
Physical Medicine and Rehabilitation
Received: 2022/06/13 | Accepted: 2022/08/21 | ePublished ahead of print: 2022/08/30 | ePublished: 2022/09/3
Received: 2022/06/13 | Accepted: 2022/08/21 | ePublished ahead of print: 2022/08/30 | ePublished: 2022/09/3
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