The Orthobullets Podcast Spine | Neck & Upper Extremity Spine Exam
Aug 30, 2025
Discover the intricacies of neck and upper extremity spine examinations. Gain insights into cervical nerve roots from C4 to T1 and the critical differences between cervical and lumbar evaluations. Explore essential physical tests for diagnosing conditions like cervical radiculopathy, supported by compelling clinical cases. Learn management strategies backed by research, making complex concepts accessible and engaging. Perfect for anyone looking to deepen their understanding of spinal assessments!
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Cervical Root Functional Map
- Cervical nerve roots have distinct motor, sensory, and reflex mappings from C4 to C8 that guide focal exams.
- Testing those key muscles and dermatomes helps localize radiculopathy precisely.
Cervical vs Lumbar Root Anatomy
- Cervical and lumbar nerve root anatomy differ: cervical roots run more horizontally while lumbar roots run vertically.
- This means cervical central and foraminal discs can affect the same root, unlike lumbar discs.
Thorough Cervical Inspection And ROM
- Inspect alignment, scars, skin findings, and muscle atrophy when evaluating the cervical spine.
- Measure range of motion in flexion, extension, rotation, and lateral bending and document degrees or landmarks.