CERVICAL COMPRESSION TEST
VIZNIAK'S PHYSICAL ASSESSMENT
CERVICAL COMPRESSION TEST is a not-to-be-missed, light-hearted look at a very basic test. Don't miss it, this is great fun!
Procedure
Patient seated, the examiner gently applies axial downward pressure on the patient's head.

THE C. MAXIMAL COMPRESSION TESTS
The patient's head is... with gentle axial compression - Rotated, first left and then right
- Laterally flexed, left and right
-
Truly astonishing display of the Compression Test ala SWAN LAKE 0001 ! Watch to the end!
- Slightly extended.
- Rotation, extension + lateral flexion to the same side (Kemp's test)
INTERPRETATION
- Increased Peripheral pain > Increased pressure on nerve roots (IVF encroachment, radiculopathy).
- Increased local pain > Joint damage, facet lock, meniscoid entrapment.
- Increased tingling or pain in the arm with the compression + Kemp's test is pathognomic of a nerve root impingement syndrome.
Whiplash and the joints of Luschka as well as facet syndromes and disc injuries should be considered.
CLINICAL NOTES
With radicular symptoms, further evaluation is warranted - a detailed neurologic examination and diagnostic imaging.
FROM THE COAL FACE

"Doc, I have terrible pain in my arm?"
"When did it start, Mr Jones." "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?
Arm pain is often severe, disturbing sleep. Unlike leg pain, you often can't find a comfortable position. Patients often think they must be hypochondriacs. Almost certainly not but the Arm Pain Quickdash test gives you a pretty objective measure of how severe your arm pain is.
ARM PAIN QUICK DASH score ...
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 Scalene Triangle, Scalene spasm, a fixated First Rib, fibrosis from old fractures of the first rib or clavicle...
THORACIC OUTLET SYNDROME ...
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 ... click here
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. Chiropractors agree that chronic neck pain is best managed with an occasional, but regular, treatment.
LINKS @ CERVICAL COMPRESSION TEST
Does shoulder abduction 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 ...
Didn't you love the frogs? Frog in my Throat by Bernard Preston, D.C.
Dr Vizniak Physical Assessment Manual should be on every Chiropractic shelf. Read more...

Plantar myofascitis ... pain under the foot.
From Cerv compressn test to CHIROPRACTIC BOOKS home page
From Cervical compression test to ORTHOPAEDIC EXAMINATION ...
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