Keywords; cervical compression test, shoulder abduction relief sign, chiropractic books, thoracic outlet syndrome.
This is a light hearted look at a very basic test. Enjoy the video; it's great fun.
So, how is the procedure done?
With the patient seated, the examiner gently applies axial, downward pressure on her head. First, do no harm, was Hippocrates' admonition; done too enthusiastically any orthopaedic test can worsen the condition.
THE C. Maximal Compression Tests
The patient's head is... with gentle axial compression
Whiplash and the joints of Luschka as well as facet syndromes and disc injuries should be considered. Why you should always consult a chiropractor after a whiplash.
With radicular symptoms, further evaluation is warranted; a detailed neurologic examination and diagnostic imaging.
From the coalface
"Doc, I have terrible pain in my arm?"
"When did it start, Mr Vermeulen."
"After we went to the Pink Pop concert."
"Did anything unusual happen?"
"I can't think of anything. It was quite a long and tiring day. The kids found it boring."
"How old are they? You didn't carry one of them on your shoulders by any chance?"
How bad is my arm pain?
The ache in the upper extremity is often severe, disturbing sleep. Unlike the leg, you
often can't find a comfortable position. Patients may think they must
be hypochondriacs. Almost certainly, they are not but the arm pain quickdash test found lower down
gives you a pretty objective measure of how severe your condition is.
One possible mechanism explaining the radiating arm after carrying a child on your neck shoulders is the thoracic outlet syndrome.
An aching, painful arm is a frequent complaint heard at the chiropractic coalface. Sometimes it is caused by a compromise of the subclavian artery and brachial plexus as they emerge from the thorax. Passing through the interscalene triangle, a scalene spasm or fixated first rib or fibrosis from an old fracture of the first rib or clavicle the vascular and neurologicasl structures may be compromised; a cervical rib too may be the spoke in the wheel, remembering that a large part of it may be cartilage and unseen on an xray.
NECK ARM PAIN
To reiterate, with any of the tingling, nerve-type pain syndromes of the arm, like
Carpal Tunnel Syndrome
for example, a thorough work of the cervical spine and first rib is mandatory.
NECK ARM PAIN
is so common at the Chiropractic Coalface, and the root of many tennis
arm, rotator cuff and frozen shoulder type syndromes is very frequently
in the cervical spine. Just look at these two cases from the clinic...
Arm pain case histories ...
CHIROPRACTIC MAINTENANCE CARE
Like all chronic medical conditions, no one is able to cure chronic neck pain. Research shows once you've had neck pain for six months, you'll almost certainly have it for the rest of your life. Neck pain for four months? Do something now, or it's for ever.
Neck pain for more than six months? Chiropractors agree that chronic neck pain is best managed with an occasional, but regular, treatment.
LINKS @ CERVICAL COMPRESSION TEST
Does raising your arm bring relief? The SHOULDER ABDUCTION RELIEF sign.
Go from C. COMPRESSN TEST to ARM PAIN ...
Chiropractic neck pain treatment ...
Neck pain and headache ...
CARPAL TUNNEL CASE FILE ...
Many insurance companies now only pay for physical therapists to provide a chiropractic adjustment; that's in the face of powerful research proving that inclusion of DCs to perform their own technique would save them a good deal of money. One has to conclude that political medicine has gone off on another tack to contain our profession.
It's being successful with some doctors of chiropractic quitting. Others become involved in some dodgy practices, like demanding that patients sign up for a whole year of treatment in advance, in order to stay in business.
In recessionary times, the going is tough when the insurance won't pay.
Is the day approaching for a new Wilk versus the AMA and the insurance companies?
The chiropractic profession has tried hard to stay on the moral high ground; those who stoop to unscrupulous practices need to be exposed and disciplined if we are not to stoop to the low blows that medicine has often resorted to contain and eliminate us.
Chiropractic Books.com and its two sister sites Chiropractic Help.com and Bernard Preston.com bring you plenty of information about new books, care of the body, and healthy living tips from your own vegetable and fruit gardening, to flaxseed for omega 3 and much more.