Are tender points associated with cervical radiculopathy?

Abstract:

OBJECTIVE:To determine if there is an association between cervical radiculopathy and tender spots in the neck and upper extremity on the side of radiculopathy. DESIGN:Prospective cross-sectional study. SETTING:Outpatient spine clinic within an academic institution. PARTICIPANTS:Convenience sample of 16 subjects with unilateral cervical radiculopathy. Twelve subjects had C7 radiculopathy and 4 had C6 or C8 radiculopathy. INTERVENTION:Bilateral pain-pressure threshold measurement (14 muscles) of the neck and upper extremity. MAIN OUTCOME MEASURE:Side-to-side difference in pain-pressure threshold. RESULTS:Differences in frequency of tender spots were found only in the deltoid and flexor carpi radialis. Overall, more tender spots were found on the side of radiculopathy (75 vs 34, P < .01). Among subjects with C7 radiculopathy, the number of tender spots in C7 innervated muscles was greater on the side of radiculopathy (23 vs 7, P < .02). In contrast, no significant difference in the number of tender spots between sides was found when only non-C7 innervated muscles (P > 0.1) were considered. CONCLUSIONS:Cervical radiculopathy was associated with increased tender spots on the side of radiculopathy, with predilection toward muscles innervated by the involved nerve root.

journal_name

Arch Phys Med Rehabil

authors

Letchuman R,Gay RE,Shelerud RA,VanOstrand LA

doi

10.1016/j.apmr.2004.11.023

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

1333-7

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(05)00073-0

journal_volume

86

pub_type

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