The incidence and management of cervical radiculopathy in patients with shoulder pain. |
Moon, Jae Ho , Lee, Ju Kang , Ahn, Bang Hwan , Park, Jun Soo |
Department of Rehabilitation Medicine, Yonsei University College of Medicine |
견부통환자에서의 경추부 신경근병변의 빈도 및 치료에 대한 고찰 |
문재호, 이주강, 안방환, 박준수 |
연세대학교 의과대학 재활의학교실 |
|
|
|
Abstract |
The purpose of this study was to identify the correlation of shoulder pain to cervical pathology and effectiveness of cervical treatment on the neck and shoulder. Response to a multidisciplinary rehabilitation program focused on the cervical radiculopathy and shoulder pain was excellent. Thirty patient complaining of shoulder pain only without neck pain were evaluated by physical examination, cervical X-rays and electrodiagnostic study. The results were as follows: 1) Twenty four cases were abnormal in plain cervical spine x-ray with straightening of cervical lordotic curve in 15 cases, cervical spondylosis in 13 cases, and disc space narrowing in 5 cases. 2) Cervical radiculopathies were diagnosed 24 cases which showed abnormal spontaneous activities in needle EMG:13 cases in paraspinal muscles and 11 cases in both paraspinal and upper extremity muscles. 3) The results of treatment were excellent in 6 cases and good in 18 cases. Therefore patients complaining of shoulder pain should be examined their neck with various laboratory study. |
Key Words:
Shoulder pain, Electromyography, Cervical radiculopathy |
|