Nerve trunk pain: physical diagnosis and treatment.

Abstract:

:The management of peripheral neuropathic pain or nerve trunk pain relies upon accurate differential diagnosis. In part neurogenic pain has been attributed to increased activity in, as well as to abnormal processing of non-nociceptive input from, the nervi nervorum. For neurogenic pain to be identified as the dominant feature of a painful condition there should be evidence of increased nerve trunk mechanosensitivity from all aspects of the physical examination procedure. Consistent dysfunction should be identified on key active and passive movements, neural tissue provocation tests as well as nerve trunk palpation. A local cause for the neurogenic pain disorder should also be identified if the condition is to be treated by manual therapy. A treatment approach is presented which has been shown to have efficacy in the relief of pain and restoration of function in cervicobrachial pain disorders where there is evidence according to the outlined examination protocol of nerve trunk pain.

journal_name

Man Ther

journal_title

Manual therapy

authors

Hall TM,Elvey RL

doi

10.1054/math.1999.0172

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

63-73

issue

2

eissn

1356-689X

issn

1532-2769

pii

S1356-689X(99)90172-8

journal_volume

4

pub_type

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