Monograph: Musculoskeletal mimics of cervical radiculopathy
Abstract: Musculoskeletal mimics of cervical radiculopathy will be explored in this AANEM monograph. A review of the literature and textbooks was conducted. Musculoskeletal cervical radiculopathy mimics include: (1) head/neck pain, such as neck tension, cervicogenic headache, and temporomandibular disorder; (2) referred pain from shoul-der pathology, such as rotator cuff tears/impingement; (3) elbow region abnormalities, including medial/lateral epicondylitis; (4) wrist/hand conditions, such as DeQuervain0s tenosynovitis and intersection syndrome; (5) muscle connective tissue disorders, including myofascial trigger points; (6) conditions that have decreased range of motion, including frozen shoulder and rounded shoulders with tight pectoral/scalene muscles;(7) conditions with joint hyperlaxity and instability, as seen in post-stroke shoulder subluxation; (8) vascular conditions, such as thoracic outlet syndrome; and (9) auto-nomic controlled soft tissue changes associated with complex regional pain syndrome. Formulating a differential diagnosis and recognizing mimics of cervical radiculopathy can decrease the time between symptom onset and diagnosis/treatment plan.
Objectives:
1) Recognize musculoskeletal mimics of cervical radiculopathy originating from the head/neck, shoulder, elbow/forearm, and wrist/hand regions
2) Recognize musculoskeletal mimics of cervical radiculopathy due to muscle/connective/autonomic causes, vascular/autonomic causes, and biomechanical causes
3) Recognize and be able to assess patients for concurrent cervical radiculopathy and musculoskeletal conditions
ACCREDITATION STATEMENTThe AANEM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
DISCLOSURE INFORMATION
All conflicts of interest have been resolved according to ACCME standards. All authors/planners of this activity had nothing to disclose.
CREDIT DESIGNATION The AANEM designates this enduring material for a maximum of 2.0
AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit expires 07/01/2025.
Faye Y. Chiou-Tan, MD