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In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies. The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions. Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners. Content 00:00 Intro 00:52What is Cervical Radiculopathy? 04:05 Cervical vs Lumbar Disc Herniation 05:29 Clearer Terminology needed 07:15 Prevalence and Risk Factors 08:26 Most useful Tests 10:33 Crucial History Findings 11:56 Dermatomal/myotomal examination 13:13 Treatment Options 18:27 Manipulations? Mobilizations? 21:29 Motor Control Training 24:55 Directional Preference in the Cervical Spine? 26:03 Higher Level Exercises 27:01 Self-Management 28:52 Diagnostic Mistakes to Avoid 31:30 Red Flags and Imaging 33:15 Lessons to learn from LRS 34:25 Future Research Directions 37:45 Top Tips 39:27 Outro & Contact Info Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
The March 2025 replay features four previously released episodes focused on peripheral neuropathy and radiculopathy. The episode begins with Dr. Anne Oaklander discussing the association between long COVID and the development of polyneuropathy affecting small-fiber axons. This is followed by another interview with Dr. Oaklander, where she shares key takeaways for clinicians regarding the management of small-fiber neuropathy. The third segment features Drs. Raymond Price and Brian Callaghan discussing practice guidelines for painful diabetic neuropathy. The episode concludes with Dr. Carmel Armon addressing the efficacy of epidural steroid injections in treating cervical and lumbar spinal stenosis and radiculopathies. Podcast Links: Peripheral Neuropathy and Prolonged COVID Relapsing-Remitting Immunotherapy Responsive SFN Practice Guidelines for Painful Diabetic Neuropathy Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Article Links: Peripheral Neuropathy Evaluations of Patients With Prolonged Long COVID Relapsing-Remitting Immunotherapy Responsive Small-Fiber Neuropathy Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Disclosures can be found at Neurology.org.
Enjoy this Valentine's Day edition of Lessons From the Lab! Drs. Rubin and Levin work through a case with some twists and turns and a variety of teaching points – it's just like not knowing what you are going to get when you open a box of Valentine's Day chocolates!
In this edition of HealthBeat we discuss Non-Surgical Approaches to the Management of Lumbar Disc Herniation Associated with Radiculopathy. Want More Health and Technology Info - Contact Dr. Eglow at - drtoddeglow@aol.com And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com My Podcast Alley feed! {pca-35ddbc0845765814071fb2d2e8501841}
We've all had the patient walk in the door with acute low back pain. It's awful. They're in a ton of pain and can't function.In this episode, we discuss our strategies for working with people with acute lumbar radiculopathy to get them on the right path as soon as possible.To see full show notes and more, head to: https://mikereinold.com/how-to-treat-acute-lumbar-radiculopathy/ Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more? Check out my blog, podcasts, and online coursesFollow me: Instagram | Twitter | Facebook | Youtube
Ask the Experts: Minimally Invasive Approaches For Cervical Disc Herniation and Radiculopathy to Avoid Fusion or Permanent Hardware Hoon Choi, MD, PhD
Dr. Amy Frugé (DPT) is a former Martial Arts World Champion, rock climber, and the founder of Converge Physical Therapy. We talked about extremity and finger pain from unusual sources, how to maintain a healthy spine, how emotions and stress affect our pain, psychedelic experiences, the pain, tension, and fear triangle, ways to empty your stress bucket, and much more.Watch the Video Interview of this episode:EP 235: Dr. Amy Frugé — Uncut VideosBecome a Patron:patreon.com/thenuggetclimbing Rhino Skin Solutions:rhinoskinsolutions.comUse code “NUGGET” at checkout for 20% off your next order!KAYA:kayaclimb.comUse code "NUGGET" at checkout for 20% off your first year of KAYA PRO!PhysiVantage:physivantage.com/discount/NUG20Use code "NUG20" at checkout for 20% off your next order of collagen or protein!Crimpd:crimpd.comOr download the Crimpd app for free! We are supported by these amazing BIG GIVERS:Michael Roy, Craig Lee, Mark and Julie Calhoun, Yinan Liu, and Matt WalterShow Notes: thenuggetclimbing.com/episodes/amy-frugeNuggets:(00:00:00) – Intro(00:02:26) – Pregnancy & maternity leave(00:04:05) – Overview(00:05:31) – Amy's martial arts background(00:10:21) – Confidence(00:13:29) – Point sparring & boxing(00:18:14) – Pivoting to climbing(00:22:24) – How Amy's athletic background informs her work with climbers(00:24:25) – Starting her Physical Therapy business during covid(00:27:13) – Radiculopathy(00:28:59) – Elbow & finger pain from the spine(00:39:53) – A pulley injury that turned out to be from the spine(00:47:00) – Be careful how you snuggle(00:49:06) – How to maintain a healthy spine(00:52:44) – Shoulder pain & directional preference(00:59:37) – Go-to tells of spinal issues(01:01:15) – Finding a provider(01:02:39) – How emotions & stress affect our pain(01:09:08) – The bucket analogy(01:10:23) – Pain is protective(01:11:37) – Stress & mindset(01:18:27) – Science vs. woowoo, & left vs. right(01:23:09) – Psychedelic-assisted therapy(01:27:48) – My psychedelic experiences(01:29:26) – Another client success story(01:36:58) – The pain, tension, & fear triangle(01:40:54) – Ways to empty your stress bucket(01:47:17) – Our many different buckets, & introverts vs. extroverts(01:51:20) – Be more like a dog(01:54:42) – Wrap up
In this episode with Dr Erik Thoomes, we discuss the differential diagnosis of cervical radiculopathy from somatic neck pain, the best provocation tests to use for ruling in cervical radiculopathy, the usefulness of the upper limb tension tests and patient reported outcome measures you can use with this patient population. Want to learn more about cervical radiculopathy? Erik recently did a brilliant Masterclass with us, called “Expert Approaches to Cervical Radiculopathy” where he goes into further depth on the assessment, treatment and differential diagnosis of cervical radiculopathy.
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
Episode 334Lumbar Radiculopathy Treatment. Today I discuss...-The influence of insurance companies on our treatment decisions-Conservative treatment strategies-What to do when conservative treatment fails-Who you should have on your team of providers-Expediting surgical intervention when needed and so much more! Meet our new sponsor: Tread Labs!!
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
Today we discuss the...Lumbar Radiculopathy Evaluation-Signs and symptoms of lumbar radiculopathy-Differentiation between sciatica and radiculopathy-Differential diagnosis related to radiculopathy-Tips to optimize your evaluation process and so much more!(Video) S1 Radiculopathy Exam(Video) Positive Well or Crossed SLR test(Video) How to perform the Braggard's TestMeet our new sponsor: Tread Labs!!
In this conversation, Dr. Beau, Dr. Alex, and Dr. Seth discuss the differentiation between trigger points, radiculopathy, and peripheral nerve entrapment. The docs present three cases of heel pain in runners and ask the audience to determine which condition each case represents. Dr. Beau emphasizes the importance of history taking and examination in making a diagnosis, and highlights the need to rule out other potential causes of pain. He also mentions the use of different treatment interventions and adjunctive care for each condition. Chapters 00:00 Differentiation between Trigger Point, Radiculopathy, and Nerve Entrapment 05:05 Exam Flow Chart and Case Presentations 09:25 Differentiating Trigger Points 19:50 Differentiating Peripheral Nerve Entrapment 23:40 Treatment and Homework for Each Condition 27:00 Case Analysis and Diagnosis 35:57 Announcement of the Last Live Session --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Welcome to Season 4, Episode 9 of Winning Isn't Easy. In this episode, we'll dive into the complicated topic of "UNUM Cases Throughout the United States." Host Nancy L. Cavey, a seasoned attorney with extensive experience in disability claims, discusses UNUM, one of the disability world's most prominent carriers. UNUM, much like its competitors, does not make it easy for disability policyholders to get the benefits they paid for, and deserve. In this episode of Winning Isn't Easy, host Nancy L. Cavey walks through a number of cases with variations in location and cause of disability, but one commonality - in each, the policyholder fought against UNUM. This episode will show you firsthand how vicious UNUM can be when it comes to protecting their bottom dollar. Even if you're not with UNUM, this episode will show you tactics that are commonplace amongst disability carriers when it comes to denying claims.In this episode, we'll cover the following topics:1 - Lack of a Diagnosis and Ability to Work in Other Medical Facilities Dooms Urgent Care Physician's Claim for UNUM Disability Benefits Based on Multiple Chemical Sensitivity2- Vertebral Compression Fracture and Wedging Claim Denial by UNUM Overturned by Federal Judge 3 - UNUM's Claim That Policyholder's Back Pain Was Out of Proportion to the Evidence of Radiculopathy on Exam Reversed by Federal JudgeWhether you're a claimant, or simply seeking valuable insights into the disability claims landscape, this episode provides essential guidance to help you succeed in your journey. Don't miss it.Resources Mentioned In This Episode:LINK TO ROBBED OF YOUR PEACE OF MIND: https://caveylaw.com/get-free-reports/get-disability-book/LINK TO THE DISABILITY INSURANCE CLAIM SURVIVAL GUIDE FOR PROFESSIONALS: https://caveylaw.com/get-free-reports/disability-insurance-claim-survival-guide-professionals/FREE CONSULT LINK: https://caveylaw.com/contact-us/Need Help Today?:Need help with your Long-Term Disability or ERISA claim? Have questions? Please feel welcome to reach out to use for a FREE consultation. Just mention you listened to our podcast.Review, like, and give us a thumbs up wherever you are listening to Winning Isn't Easy. We love to see your feedback about our podcast, and it helps us grow and improve.Please remember that the content shared is for informational purposes only, and should not replace personalized legal advice or guidance from qualified professionals.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
New research highlights the best modalities for the non-surgical management of radiculopathy. Tune in to todays episode and discover new details about how disc herniations happen, and how your patients can best find relief. Episode Notes: Non-Surgical Approaches to the Management of Lumbar Disc Herniation Associated with RadiculopathyInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Physician Assistant and prior C&P examiner Leah Bucholz discusses Radiculopathy in Veterans' Disability.Leah explains radiculopathy and its relevance to VA disability. She describes radiculopathy as a condition characterized by numbness, pain, and tingling in extremities, which can arise from various levels of the spine, including cervical, thoracic, and lumbar. Leah B clarifies the difference between radiculopathy and peripheral neuropathy, emphasizing that radiculopathy originates from the spine, whereas peripheral neuropathy arises from peripheral nerve damage. She discusses how veterans can be service-connected for radiculopathy either as a primary condition if diagnosed during active duty, or secondarily related to spinal degeneration. Treatment options like traction, steroid injections, and surgery are mentioned.
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over How I Diagnose and Treat Cervical Radiculopathy [CASE STUDY Physical Therapy] Show Notes: - https://fitnesspainfree.com/2024/01/how-i-diagnose-and-treat-cervical-radiculopathy-case-study-physical-therapy-fpf-show-e119/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
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FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over a Cervical Radiculopathy [Case Study] Part 3: Physical Therapy Treatment Example, Program Advancements, Discharge Show Notes: - https://fitnesspainfree.com/2024/01/cervical-radiculopathy-case-study-part-3-physical-therapy-treatment-example-program-advancements-discharge-fpf-show-e118/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over a Cervical Radiculopathy [Case Study] Part 2: Plan of Care, Initial Treatments Show Notes: - https://fitnesspainfree.com/2024/01/cervical-radiculopathy-case-study-part-2-plan-of-care-initial-treatments-fpf-show-e117/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
Join The FARM team for this episode of the Week in Review as we discuss a classic pain neuroscience case involving low back pain, a typical presentation of ‘gymnast wrist', and a stealthy presentation of cervical spine radiculopathy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325636/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team as we discuss a case of lower extremity radiculopathy without low back pain, a thoracic disc case due to golf swing mechanics, and a case of a torn hip labrum with complicating lumbar derangement. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over a Cervical Radiculopathy [Case Study] Part 1: Subjective, Objective Evaluation, Diagnosis Show Notes: - https://fitnesspainfree.com/2024/01/cervical-radiculopathy-case-study-part-1-subjective-objective-evaluation-diagnosis-fpf-show-e116/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:6 FPF Show E:114 Show Notes: - https://fitnesspainfree.com/2023/12/cervical-radiculopathy-master-class-for-physical-therapists-fpf-show-e115/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:6 FPF Show E:114 Show Notes: - https://fitnesspainfree.com/2023/12/cervical-radiculopathy-complete-guide-for-physical-therapists-part-6-evidence-based-fpf-show-e114/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:4 FPF Show E:112 Show Notes: - https://fitnesspainfree.com/2023/12/cervical-radiculopathy-complete-guide-for-physical-therapists-part-5-evidence-based-fpf-show-e113/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:4 FPF Show E:112 Show Notes: - https://fitnesspainfree.com/2023/12/cervical-radiculopathy-complete-guide-for-physical-therapists-part-4-evidence-based-fpf-show-e112/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:3 FPF Show E:111 Show Notes: - https://fitnesspainfree.com/2023/12/cervical-radiculopathy-complete-guide-for-physical-therapists-part-3-evidence-based-fpf-show-e111/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ Curv Health - Save $50 on a yearly subscription: https://curvhealth.com/referral?provider=Dan%20Pope%20jKe6xxi-RI6ZGQn2BWfW_g FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:2 FPF Show E:110 Show Notes: - https://fitnesspainfree.com/2023/11/cervical-radiculopathy-complete-guide-for-physical-therapists-part-2-evidence-based-fpf-show-e110/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
FREE Guide to Cervical Radiculopathy: https://fitnesspainfree.com/cervical-radiculopathy-evidence-based-cheat-sheet-lead-magnet/ FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over Cervical Radiculopathy | Complete GUIDE for Physical Therapists [Evidence Based] P:1 FPF Show E:109 Show Notes: - https://fitnesspainfree.com/2023/11/cervical-radiculopathy-complete-guide-for-physical-therapists-evidence-based-fpf-show-e109/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
Ask the Experts: Patient Selection & Efficacy of CT-Guided Cervical Nerve Root Blocks in Management of Patients with Radiculopathy Wende Gibbs, MD Matthew L. Goodwin, MD
Cervical radiculopathy is a common condition of the neck that can result in a multitude of symptoms radiating in the arm, including muscle weakness. Acute weakness with the bench press can be a sign that something is impinging a nerve in your neck but when addressed appropriately, you can regain your strength effectively. Chris Rzany experienced the acute onset of pec and triceps weakness in his bench press from one day to the next. He knew something was wrong and needed medical attention when he could barely bench press the empty bar where previously he was bench pressing 260lbs. In an effort to preserve his physical health he sought immediate medical attention from an orthopedist, underwent imaging, and other testing, with no conclusive diagnosis to the root cause of his cervical radiculopathy. Through his recovery journey there were ups and downs, relapses of his symptoms, but eventually, with the brief help from PRS Clinical Coach, Dr. Rori Alter, Chris was able to understand the root of his injury, his training program. In this episode of the PRS Podcast, Chris and Dr. Rori Alter sit down and discuss his journey from severe cervical radiculopathy back to the powerlifting platform and hitting a raw powerlifting bench press PR. In this episode you'll learn how volume, intensity, frequency, recovery, and novel stimuli played into his injury. And he'll also discuss how he stopped the relapse/remission cycle through monitoring training intensity. Connect with Chris: IG - @crzany75 Email - chris_rzany@yahoo.com If you're enjoying our podcast, please leave us a review on Apple or Spotify. Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59 Check out the Clinical Barbell Coaching Institute to learn more about the PRS education opportunities! https://bit.ly/43VjRFz Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs Bre IG: @breannejulia_prs
David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy's Continuing Medical Education Programs, discusses: a case of paresthesia in the upper neck realted to C3 and C4 stenosis and considers a selective nerve root block while wondering if a deep cervical plexus block would suffice. Rational : Desire to avoid epidural due to proximity to spinal cord Ultrasound approach of cervial plexus may anesthetize C3 and C4 roots and may be sufficient to do with ultrasound alone Unfortunately, no data found to support this particular situation, however, it may be safe and effective if performed properly. Claim CME The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/lubWXJ Also discussed on this podcast: The Superficial Cervical Plexus and applications for headache, neck pain, and clavicular fractures. Caution: Phrenic Nerve Anatomy The cervical plexus is a complex network of nerves located in the neck region, originating from the anterior rami (branches) of the cervical spinal nerves, specifically those stemming from the upper cervical segments (C1 to C4). This intricate network serves to provide sensory and motor innervation to various structures within the neck and surrounding areas. The cervical plexus is positioned within a groove between the longus capitis and the middle scalene muscles in the neck. It is organized into different nerve loops and branches that radiate outwards to supply various regions. The cervical plexus can be divided into deep and superficial components, each with distinct functions and innervation patterns. Cervical Plexus: The plexus involves nerve loops and branches that provide both sensory and motor functions. The superficial sensory branches originating from adjacent anterior spinal nerves (C2 to C4) are responsible for providing sensation to specific areas of the skin, particularly in the head, neck, and shoulder regions. These sensory branches include the lesser occipital nerve (C2, C3), great auricular nerve (C2, C3), transverse cervical nerve (C2, C3), and supraclavicular nerves (C3, C4). These nerves typically run posteriorly and then penetrate the prevertebral fascia before reaching the skin and superficial structures. For Pain Management and Anesethesiology Board Review, go to For the Virtual Pain Fellowship Experience, Go to: Subscribe to Receive Free Content, Discounts and Course Updates! * indicates required Email Address * Ultrasound Workshops and Courses Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- July 19, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- August 19th, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine- Sept 15, 2023, San Juan, PR Regenerative Pain Medicine Course NYC- November 11, 2023 For up to date Calendar, Click Here! Refereces Kim JS, Ko JS, Bang S, Kim H, Lee SY. Cervical plexus block. Korean J Anesthesiol. 2018 Aug;71(4):274-288. doi: 10.4097/kja.d.18.00143. Epub 2018 Jul 4. PMID: 29969890; PMCID: PMC6078883. Read more!
Join me, Arkady Frekhtman, a personal injury lawyer in New York, as I delve into the world of spinal surgeries in my latest YouTube video. As a trial attorney preparing for a case involving a spinal fusion after a herniated disc, I've done extensive research to educate myself and now, I'm excited to share that knowledge with you.In this video, we'll explore the anatomy of the spine, the concept of herniated discs, and the various types of spinal surgeries, with a particular focus on fusion procedures. Discover how these surgeries aim to alleviate pain and restore mobility, but also uncover the potential complications and challenges patients may face, such as non-union and nerve compression. Gain valuable insights from actual surgeons, as we discuss the intricacies of the procedures and the delicate balance between successful fusion and non-union. Whether you're considering surgery or simply curious about the topic, this video is a must-watch for anyone interested in spinal health. Join me on this educational journey into the world of spinal surgeries.Frekhtman & Associates specializes in serious and catastrophic injury litigation and are recognized as some of the best personal injury lawyers in the New York City area.▶▶ CLICK BELOW TO GET A FREE CONSULT NOWhttps://bit.ly/atty-free-consultation▶▶ GIVE A REVIEW:https://bit.ly/review-fa▶▶ HOW CAN WE HELP YOU?:https://866attylaw.com/▶▶ CALL US NOW - FREE EVALUATION(212) 222-1111 or (866) ATTY LAW ▶▶ CONTACT US NOW - FREE EVALUATIONhttps://866attylaw.com/contact-us/▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬✅ CHAPTERS:00:00 Introduction and Preparation00:40 Understanding Herniated Discs00:59 Anatomy of Discs01:19 Disc Leakage and Nerve Roots01:38 Spinal Cord and Innervation02:15 Pain and Treatment Options02:41 Spinal Surgeries Overview03:27 Fusion Surgery Explanation03:53 Bone Graft and Hardware04:38 Additional Spinal Issues05:08 Non-Union and Revision06:00 Nerve Regrowth and Pain07:00 Revision Surgery Considerations08:00 Relevant Spinal Structures08:36 Dermatomes and Nerve Control09:35 Specific Nerve Functions09:56 Surgical Techniques Explained10:32 Avoiding Complications and Artery10:58 Post-Surgery Complications11:18 Accessing Bones and Discs11:46 Surgeon's Teaching Videos12:02 Variations in Disc Shapes12:25 Sagittal MRI Images13:00 Different Surgical Approaches14:00 Hardware Failure Risks15:00 Nerve Control and Dermatomes16:00 Spinal Cord and Compression17:00 Nerve Root Anatomy18:00 Muscle Transgression in Surgery19:00 MRI Readings and Comparisons20:00 Cervical Myelopathy Symptoms21:00 Hand Function and Spasticity22:00 Surgical Treatment for Hand23:00 Balance and Gait Disturbance24:00 Finger Escape and Hoffman's Sign25:00 Cervical Spine Disorders26:00 Importance of Posture27:00 Various Spine Procedures✅ ABOUT FREKHTMAN & ASSOCIATESFrekhtman & Associates Injury Lawyers represent people who suffered a serious or life-changing injury and had their lives destroyed or disrupted because of the negligence of others.FREE CONSULTATION · NO FEE PROMISE · OVER $900 MILLION RECOVERED:Get To Know More About Us:▶▶ https://866attylaw.com/about-our-firm
In this episode, we review the high-yield topic of Cervical Radiculopathy from the Spine section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
Low back pain is one of the most common reasons people go to the doctor. It's a very common disorder and something humans will experience whether they are active, sedentary, barbell train, or do anything at all. But back pain can be really scary and when we're in the thick of it, we may feel like it will never go away. In this episode of the PRS Podcast, PRS Clinical Coaches Drs. John Petrizzo, Alyssa Haveson & Rori Alter sit down to discuss the three types of back pain: Radiating back pain Position-dependent back pain Localized back pain Check out this episode for a down and dirty rundown of each of them to help you figure out what kind of back pain you have and what you should do about it! Need help with an injury or programming? Book a free consultation call with one of the PRS Clinical Coaches here! Interested in attending some of the free PRS community events and getting early access to PRS Podcast episodes? Sign up for our weekly newsletter here! If you're enjoying our podcast, please leave us a review on Apple or Spotify. Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59 Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs
Devon Rubin, MD, is joined by Michael Andary, MD, for a lively debate and discussion on EDX approach to radiculopathy. Visit our website for more information and educational materials education.aanem.org.
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In episode 266: Cervical Radiculopathy Cluster (Cluster of Wainner) I talk about...✅ The 4 evaluative finding in the Cluster of Wainner✅ How to perform each test.✅ The importance of not just depending on the cluster to make your diagnosis and much more!!
Anand Joshi, a physical medicine and rehabilitation physician at Emory University in Atlanta, chats with moderator Renee Rosati, DO, of Medical University of South Carolina about "Yay or Nay, EMG for radiculopathy?"
In this episode, we review the high-yield topic of Cervical Radiculopathy from the Spine section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
Dr. Chilvana Patel interviews Dr. Faye Chiou Tan on Musculoskeletal Mimics of Cervical Radiculopathy.
Dr. Chilvana Patel interviews Dr. Faye Chiou Tan on Musculoskeletal Mimics of Cervical Radiculopathy
Dr. Chilvana Patel interviews Dr. Faye Chiou Tan on musculoskeletal mimics of cervical radiculopathy.
Dr. Thavi Chhoun (@tchhoun) joins @bvthep in the BFP studio to talk about her new podcast Day Old Donuts (@day_old_donuts_pod)! She also discusses a recent case of conservative vs surgical intervention for a patient with cervical radiculopathy, the Stranger Things finale, recommended anime for anime newbs and more!Be sure to follow Day Old Donuts on all the apps and reach out to Thavi at dayolddonutspodcast@gmail.comMedBridge Use the discount code BETTERFASTERPOD to get over 40% off your individual subscription! Brought to you by Vertex PT Specialists One patient per doctor of physical therapy, per hour, guaranteed. The best physical therapy ever!Vertex Performance Training Look good, feel good, live a better life.Body Tempering A new method of strength preparation.Buzzsprout - Let's get your podcast launched! Start for FREEBlazepod Get 15% off your next order: https://www.blazepod.com/brandon-vaughnMedBridge Use the discount code BETTERFASTERPOD to get over 40% off your individual subscription!HECOstix Use the code BETTERFASTER at checkout to get 10% off your next order.SAGA - Accelerate Your Muscle Growth World-Leading BFR Cuffs Use the coupon code BETTERFASTER for 10% off your next order.Stick Mobility - Movement Made Better FLEXIBILITY STRENGTH COORDINATION Get 10% off your next order with the code BETTERFASTERPODIron Neck - Where Training Meets Therapy Get 15% off your next order with the Discount Code: BETTERFASTERDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show
Dave and Rob are joined by Adam Dobson regular on the podcast and Annina Schmid, physiotherapist and neuroscience researcher who leads the Neuromusculoskeletal Health and Science Lab at the University of Oxford. They discuss in detail radiculopathy, what it is and how it is diagnosed. With the neurological examination a key clinical diagnosis this is a great opportunity to hear about how Annina effectively uses sensory examination and what the results mean. Learn about radiculopathy and the sensory exam with great content in this informative episode KEY TAKEAWAYS Nerve related pain is usually a radiating pain, not a pain that can be pinpointed to one spot Always compare left and right talking to the patient about how the affected side feels compared to the other side We need to establish a normative area, you cannot just compare left and right because you may miss a sensory deficit Test sensation using something neutral like tissue or cotton wool The key to neurological examination is understanding single items in isolation have no relevant value it's putting together the pieces You have to make the pieces fit together to understand the picture Studies use the reference testing of MRI imaging or inter surgical findings which don't tell us anything about the loss of function, the definition of radiculopathy Radiculopathy is a clinical diagnosis that includes the neurological examination The reference standard should be the clinical diagnosis because that's what radiculopathy is For a nerve to be affected it doesn't need something to be directly encroaching or deforming it We are imaging macro structure but a nerve can be affected on the inside so we should be looking further are the inside of the nerve Severe motor deficit or progressive motor deficit will be a referral We do not need to be specialists but we do need an awareness of what can masquerade as radiculopathy and refer to the right professional BEST MOMENTS ‘If the patient has lower back pain and it radiates into the buttock it's enough for me to do an examination' ‘With radiculopathy, the reference standard should be the neurological examination' ‘If there is a pain and it radiates this would trigger a neurological examination' THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ RESOURCES FOR THIS EPISODE Annina Twitter https://twitter.com/AnninaBSchmid Annina Website http://www.neuro-research.ch/ ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him. -Instagram Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter SOCIAL MEDIA LINKS Instagram Twitter Facebook CONTACT US hello@thebackpainpodcast.com Support the show: https://thebackpainpodcast.com See omnystudio.com/listener for privacy information.
To help prepare you for your PM&R Board Exams, we're bringing you a podcast series dedicated to current practices and core knowledge. Main Learning Objectives: • Identify common etiologies for radiculopathy • Review basic spine anatomy • Discuss EDX findings in radiculopathy and limitations of the exam • Briefly recap H-reflex and F-waves • Sum up the muscles with dual innervation Credits: This episode was written and hosted by: Chris Andriano, DO & Michael Pham, DO This episode was reviewed for accuracy by: Geoffrey K Seidel MD & Ryan Castoro, DO This podcast series is directed by: Margaret Beckwith, MD & Benjamin Gill, DO, MBA Please send feedback to aapdigitaloutreach@gmail.com so we can best suit your learning needs! Content for this series is based off of current PM&R learning materials and is created by residents for residents. It is not an official board review study guide.
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In episode 232: The Bakody's Sign: A Special Test for the Cervical Spine I go over...➡How to perform the Bakody's Sign.➡The significance of the test.➡Why the results of this test may change your treatment plan and so much more!
Dr. Katarzyna Ibanez interviews Dr. Timothy Dillingham on Evaluation of Persons With Suspected Lumbosacral and Cervical Radiculopathy.
Dr. Katarzyna Ibanez interviews Dr. Timothy Dillingham on evaluation of persons with suspected lumbosacral and cervical radiculopathy.
Mononeuropathy. Radiculopathy. Neurological emergencies
This week we share some tips we've stumbled upon then we are joined by misty who started out as a new grad in the ER and has also worked, ICU, PACU, Cardiac Rehab, and outpatient Case management. She has lots of great experience and lots of great stories! --- Send in a voice message: https://anchor.fm/katieapril/message
Explore cervical radiculopathy, central sensitisation, achilles tendinopathy, hip & groin pain, & strength tests for athletes with Simon Olivotto, Dave Toomey, Paula Peralta & Nick Kendrick. In this Clinical Edge member Q&A, the Clinical Edge Senior Physio Education & Presentation team discussed: Cervical radiculopathy patients with an irritable presentation Do imaging findings such as modic changes, alter our management How can you approach treatment of cervical radiculopathy? Are medications indicated? Red flags you need to rule out Are sliders and gliders a useful treatment? Sensitivity to cold or ice How can you use tests to identify sensitivity to cold or ice to guide your treatment? Does ice sensitivity indicate central sensitisation? How does this impact management? If your whiplash patients have sensitivity to cold or ice, how does this impact treatment & prognosis? Which research articles cover this topic? Calf & achilles strengthening When is it best to perform calf raises into dorsiflexion (DF)? When should you avoid strengthening the calf into end of range (EOR) DF? What ankle issues may lead you to avoid strengthening or stretching into EOR DF? Hip joint pain and the acetabular labrum Can we identify when the labrum is responsible for hip or groin pain? What tests are important to perform in patients with hip or groin pain? If deep structures such as the hip joint are painful or injured, does this mean more superficial structures such as the acetabular labrum are also pain generators? Strength assessment & screening of athletes What strength screening tests can you perform in athletes with large demands such as motorcross? Which areas do you need to assess? What are simple and more complex ways to assess strength in different regions of the body? What are important considerations when designing a S&C program for a motocross athlete? Making sense of pain How can you make sense of pain? How can you describe pain to your patients in a way that makes sense, and doesn't tell them “it's all in your head”? Find out how to improve your confidence with acute and persistent pain in the upcoming “Making sense of pain” module. Warning: Contains swearing Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your clinical reasoning, assessment and treatment effectiveness, efficiency and results with a free trial Clinical Edge membership Clinical reasoning module - simplify complex patients, clarify your assessment and get great results with clinically reasoned treatment “Making sense of pain” module Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Clinical Edge Education & presentation team Simon Olivotto Paula Peralta David Toomey Nick Kendrick Articles associated with this episode: Maxwell S, Sterling M. An investigation of the use of a numeric pain rating scale with ice application to the neck to determine cold hyperalgesia. Manual therapy. 2013 Apr 1;18(2):172-4. Machado GC, Maher CG, Ferreira PH, Day RO, Pinheiro MB, Ferreira ML. Non-steroidal anti-inflammatory drugs for spinal pain: a systematic review and meta-analysis. Annals of the rheumatic diseases. 2017 Jul 1;76(7):1269-78. Zhu S, Zhu J, Zhen G, Hu Y, An S, Li Y, Zheng Q, Chen Z, Yang Y, Wan M, Skolasky RL. Subchondral bone osteoclasts induce sensory innervation and osteoarthritis pain. The Journal of clinical investigation. 2019 Mar 1;129(3):1076-93.