81. AJSM -- Sign In Page Bilateral compression syndrome of the radial nerve at the lateral head of the A nerve compression syndrome possibly related to a fibrous arch of the http://ajs.sagepub.com/cgi/content/full/30/4/614

HOME HELP CONTACT US SUBSCRIPTIONS ... SEARCH QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This item requires a subscription to American Journal of Sports Medicine Online. Full Text Bilateral Radial Nerve Compression Syndrome in an Elite Swimmer: A Case Report Richter et al. Am J Sports Med. This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager ... Reprints and Permissions PubMed PubMed Citation Articles by Richter, H.-J. Articles by Segantini, P. Related Collections Female Athletes To view this item, select one of the options below: Sign In User Name Sign in without cookies. Can't get past this page? Help with Cookies. Need to Activate? Password Forgot your user name or password? Purchase Short-Term Access Pay per Article - You may access this article (from the computer you are currently using) for 1 day for US$25.00

82. Home Prevention Science Medical Contact Us Nerves Work nerves. Workrelated nerve disorders include compression, entrapment, In the double crush syndrome, there is compression at the carpal tunnel as well. http://www.ergonext.com/aa-science-msd/nerves.htm

Home Prevention Science Medical ... Contact Us Nerves Peripheral nerve is composed of a nerve cell body (motor or sensory) and an axon, which extends to the periphery. An axon with its sheath constitutes a nerve fiber. Myelinated fibers are surrounded by single layers of Schwann cells arranged in a longitudinal manner along the nerve. Spaces on myelinated nerves created by adjacent Schwann cells are called nodes of Ranvier. Bundles of nerve fibers, called fascicles, are wrapped by perineurium and embedded with microvasculature in epineural tissue. The amount of epineural tissue and the presence or absence of myelination depends on the location and purpose of the nerve. The largest myelinated fibers (Group A) have the highest conduction velocity. Group B fibers are myelinated autonomic and preganglionic fibers. The thinnest, non-myelinated fibers have the lowest conduction velocity and make up the visceral and somatic afferent pain Group C fibers. Substances required for membrane integrity are synthesized in the nerve cell body and transported to the periphery, while disposal of waste materials and transport of trophic and tropic factors both involve transport from the periphery to the nerve cell body. Both propagation of impulses and transportation of materials require a sufficient energy supply and vasculature. Depending upon location, peripheral nerves are subject to variable amounts of gliding or excursion in response to muscle, tendon, and joint movement. There are several mechanisms by which peripheral nerves are either injured directly or contribute secondarily to pain and dysfunction. Nerve tissue plays a predominant role in transmitting information on the extent of tissue damage and in establishing the CNS link producing sensations of pain. Movement disorders and dystonias, which produce chaotic or uncontrolled patterns of hand movement or cramps, also involve patterns of abnormal nerve transmission, but here the problem has more to do with function and control than pain. Nerve tissue can also be directly injured, producing characteristic symptom patterns.

83. Osteopathic Principles Key To Treating Patients With Thoracic Outlet Syndromes The Scalenus Anticus Syndrome involves a compression on the brachial plexus Syndrome involves a compression of the median nerve in the distal wrist. http://www.acofp.org/member_publications/thoracic.htm

Osteopathic Principles Key to Treating Patients with Thoracic Outlet Syndromes Four major syndromes have specific characteristics and diagnostic tests by Elaine Wallace, DO A 28-year-old weight lifter presents to your office for assistance due to a complaint of progressive numbness in the lateral aspects of his forearms accompanied with a recent inability to bench press his usual weight routine. He increased his upper body workout (pectoralis and neck muscles) six weeks ago, but has no other life changes. He has a friend in a similar situation who received great relief after seeing her osteopathic physician and wants to know if you can help him. Where do you begin? There are few syndromes seen by the busy family practitioner that better demonstrate the osteopathic interrelationship of structure and function than does Thoracic Outlet Syndrome (TOS).

84. The Laryngoscope - UserLogin Cochleovestibular nerve compression syndrome clinical features and audiovestibular test findings. Laryngoscope 1992;102(9)10209. http://www.laryngoscope.com/pt/re/laryngoscope/fulltext.00005537-199811000-00027

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85. CTSN- Thoracic Outlet Syndrome Text Thoracic Outlet compression Syndrome affected by compression · Symptoms usually have ulnar nerve distribution (medial arm and hand, 4th and 5th fingers) http://www.ctsnet.org/doc/7625

Thoracic Outlet Compression Syndrome Click on hyperlinked text for illustrations View TSDA Curriculum Online for this topic 1. Definition Compression of the subclavian vessels and brachial plexus at the superior aperture of the chest, most commonly against the first rib. Other terms for this syndrome include scalenus anticus syndrome, costoclavicular syndrome, hyperabduction syndrome, cervical rib syndrome, and first thoracic rib syndrome. 2. Anatomy A. Surgical Anatomy first rib divides the cervicoaxillary canal into a proximal space and a distal space (the axilla) B. Functional Anatomy 3. Etiology There are many factors which can cause neurovascular compression at the thoracic outlet. Bony abnormalities are present in about 30% of patients, and some of these may be visualized on plain chest x-ray. I. Anatomic Factors II. Congenital Factors III. Traumatic Factors IV. Atherosclerosis *adapted from Kirklin and Barratt-Boyes 4. Clinical Presentation The character and pattern of symptoms will vary depending on the degree to which nerves, blood vessels, or both are compressed A. Neurogenic

86. Cubital Tunnel Syndrome Cubital Tunnel Syndrome. nerve compression problems are a frequent cause for pain and dysfunction in the upper extremity, particularly in the occupational http://www.massagetoday.com/columnists/lowe/

Business Insights Perry Isenberg Coach's Corner Cary Bayer ... Kate Jordan, NCTMB The staff of Massage Today extends its sincere wishes for peace, health and happiness in 2005! Cubital Tunnel Syndrome Nerve compression problems are a frequent cause for pain and dysfunction in the upper extremity, particularly in the occupational environment. Although not as present in the popular literature as carpal tunnel syndrome, cubital tunnel syndrome is a common nerve compression pathology. In fact, it is the second most common peripheral compression neuropathy. It occurs when the ulnar nerve is compressed between the two heads of the flexor carpi ulnaris on the posterior elbow within a region called the cubital tunnel. Characteristics The cubital tunnel is located on the posterior elbow and is bordered by the two heads of the flexor carpi ulnaris (FCU) muscle. One head of the FCU muscle comes from the common flexor tendon attachments at the medial epicondyle of the humerus. The other comes off the medial aspect of the olecranon process. The two heads eventually join to form the belly of the FCU. The nerve eventually passes between these two heads (Figure 1). Space within the cubital tunnel may decrease as much as 55 percent during elbow flexion, making nerve compression more likely.

87. Essentials Of Assessment: Cubital Tunnel Syndrome nerve compression problems are a frequent cause for pain and dysfunction in Cubital tunnel syndrome may occur as a result of direct compression of the http://www.massagetoday.com/archives/2005/06/11.html

Massage Today June, 2005, Volume 05, Issue 06 Printer Friendly Version Email to a Friend Business Insights Perry Isenberg ... Kate Jordan, NCTMB The staff of Massage Today extends its sincere wishes for peace, health and happiness in 2005! Essentials of Assessment: Cubital Tunnel Syndrome Whitney Lowe, LMT, NCTMB Nerve compression problems are a frequent cause for pain and dysfunction in the upper extremity, particularly in the occupational environment. Although not as present in the popular literature as carpal tunnel syndrome, cubital tunnel syndrome is a common nerve compression pathology. In fact, it is the second most common peripheral compression neuropathy. It occurs when the ulnar nerve is compressed between the two heads of the flexor carpi ulnaris on the posterior elbow within a region called the cubital tunnel. Characteristics The cubital tunnel is located on the posterior elbow and is bordered by the two heads of the flexor carpi ulnaris (FCU) muscle. One head of the FCU muscle comes from the common flexor tendon attachments at the medial epicondyle of the humerus. The other comes off the medial aspect of the olecranon process. The two heads eventually join to form the belly of the FCU. The nerve eventually passes between these two heads (Figure 1). Space within the cubital tunnel may decrease as much as 55 percent during elbow flexion, making nerve compression more likely.

88. Physical Therapy Corner: Thoracic Outlet Syndrome The brachial plexus is the network of motor and sensory nerves which innervate the arm, What sort of activities can cause these compression syndromes? http://www.nismat.org/ptcor/thoracic_outlet/

Home FAQ Site Map Search NISMAT: Advanced search... About Philosophy Research ... Guestbook Sports Medicine Corners: Orthopaedics Exercise Physiology Nutrition Physical Therapy ... Links Physical Therapy Corner: Thoracic Outlet Syndrome More than just a pain in the neck. Thoracic outlet syndrome is actually a collection of syndromes brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular obstacles between the cervical spine and the lower border of the axilla. What does that mean? First of all a syndrome is defined as a group of signs and symptoms that collectively characterize or indicate a particular disease or abnormal condition. The neurovascular bundle which can suffer compression consists of the brachial plexus plus the C8 and Tl nerve roots and the subclavian artery and vein. The brachial plexus is the network of motor and sensory nerves which innervate the arm, the hand, and the region of the shoulder girdle. The vascular component of the bundle, the subclavian artery and vein transport blood to and from the arm, the hand, the shoulder girdle and the regions of the neck and head.

89. Internet Scientific Publications, LLC. The diagnosis of common peroneal nerve compression is based on a careful nerve injury or extrinsic compression due to hematoma or compartment syndrome. http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijps/vol2n1/tnc.xml

90. Internet Scientific Publications, LLC. Despite its huge mass, no signs of nerve compression were detected. H. Lipoma as a rare cause of nerve compression syndrome in the hand and forearm. http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijpn/vol5n1/guyon.xml

91. Mononeuropathies - Patient UK Cubital tunnel syndrome Less common nerve compression syndrome affecting ulnar nerve link often associated with arthritis, fractures and overuse. http://www.patient.co.uk/showdoc/40000793/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Mononeuropathies Single nerves can be affected at any point in their course when they are impinged upon by surrounding structures or damaged by external trauma. This is most likely to occur where they are close to the surface or within a narrow opening. Working from top to bottom, common mononeuropathies include: Bell's palsy Bell’s palsy is now believed to be a viral polyneuropathy with inflammatory demyelination causing idiopathic unilateral paralysis of the VIIth cranial nerve. Presents with rapid onset of facial weakness and may be associated with or preceded by an ache below the ear. Weakness worsens for 12 days before stabilising and pain resolves within a few days. Symptoms and signs are unilateral. If bilateral, consider another diagnosis. Thoracic Outlet Syndrome Caused by damage to part of brachial plexus and/or subclavian vessels either by compression over a cervical or abnormal thoracic rib or an aberrant fibrous band. Presents with muscle weakness and atrophy of the hand and wrist with pain, loss of sensation and tingling in the medial forearm and little and first fingers. Pain often follows carrying heavy items. Occasionally, there is cyanosis and swelling of arm. Less commonly, Raynaud's phenomenon occurs.

92. Complex Regional Pain Syndrome: Understanding Reflex... tunnel or thoracic outlet syndrome; and peripheral nerve compression. Monsivais J, Baker J. The association of peripheral nerve compression and RSD. http://www.acupuncturetoday.com/archives2000/nov/11priebe.html

Acupuncture Today November, 2000, Volume 01, Issue 11 Printer Friendly Version Email to a Friend Other MPAmedia Alternative Health Site Links Chiropractic ChiroWeb DynamicChiropractic ChiroExpo ChiroFind ... Review Massage Therapy MassageToday SpaTherapy Nutrition NutritionalWellness Pain Management Ted Priebe, LAc, OMD, QME Complex Regional Pain Syndrome: Understanding Reflex Sympathetic Dystrophy (RSD) The first clinical description of reflex sympathetic dystrophy occurred in 1863, when Dr. S.W. Mitchell described a burning pain called causalgia in Gunshot Wounds and Other Injuries of Nerves Reflex sympathetic dystrophy is now known as a neurogenic disease with a multisymptom medical condition that affects one or more extremities. RSD was officially recognized and given an ICD-9 code (337.2) in 1993. It is described as an intense, severe burning pain, usually with swelling, color changes to the skin, and intense sensitivity to touch and temperature. Generally, it is caused by a slight injury; repetitive motion injury; surgery; venipuncture; laceration; burns; degenerative joint disease; compression due to casting; infection; and myocardial infarction. Many patients may have accompanying neuromas; peripheral neuropathies; temporal mandibular joint pain; nerve entrapments such as carpal tunnel or thoracic outlet syndrome; and peripheral nerve compression. RSD will affect up to five percent of these patients.

93. Nerve Compressions dot Go to Tarsal Tunnel Syndrome dot Go to Radial nerve compression dot Go to Calceneal nerve compression dot Go to Peroneal nerve compression http://www.dellon.com/nervecom.htm

Nerve Compression Go to Carpal Tunnel Syndrome Go to Cubital Tunnel Syndrome Go to Tarsal Tunnel Syndrome Go to Radial Nerve Compression ... Go to Thoracic Outlet Syndrome Carpal Tunnel Syndrome, Computer-Assisted Quantitative Sensorimotor Testing in Patients with Carpal and Cubital Tunnel Syndromes Ann Plastic Surg.: Vol. 38, No. 5. Pages 493-502, 1997. A. Lee Dellon, M.D., Kelly M. Keller, O.T.R., C.H.T. This study reports the use of computer-assisted sensorimotor testing in 75 patients with chronic peripheral nerve compression. Pinch and grip strength, and the cutaneous pressure threshold were measured. The reliability of this equipment for repeated measurements was excellent (r=.095). The pressure threshold at which a one-point static can be distinguished from two-point static touch was found to be the first variable to become abnormal with computer-assisted sensorimotor testing. Criteria are suggested for screening with this equipment to detect carpal and/or cubital tunnel syndrome. Cubital Tunnel Syndrome

94. Nerve Entrapments Of The Wrist: Early Treatment Preserves Function nerve compression can occur at two levels. Double crush syndrome suggests that proximal compression may decrease the ability of the nerve to tolerate a http://www.jaapa.com/issues/j20050401/articles/wrist0405.htm

var showBanner = "" var showBanner = "" Using the search form Nerve entrapments of the wrist: Early treatment preserves function Nerve entrapment syndromes may affect as many as one in four office workers. Prompt diagnosis is critical to the selection of an appropriate and effective treatment. Capt. Gina M. Wellik, MPAS, PA-C The author is stationed at Minot Air Force Base, ND. She has indicated no relationships to disclose relating to the content of this article. If you prefer to view this article in PDF form, click here CME Earn Category 1 CME credit by reading this article and the associated article and successfully completing the post-test. Successful completion is defined as a cumulative score of at least 70% correct. This material has been reviewed and is approved for 1 hour of clinical Category 1 (Preapproved) CME credit by the AAPA. The term of approval is for 1 year from the publication date of April 2005. Prevalence rates based on symptom surveys along with a physical examination indicate that 25% of office employees in selected workplaces report workrelated upper extremity disorders. These disorders are associated with the longest absences from work for any reason. A Washington state study indicated that carpal tunnel syndrome (CTS) was associated with a significantly longer time to return to work than were back and neck sprains, fractures, and all other injuries.

95. Neurochirurgie - FAU - Forschung      Neurovascular compression syndrome In most cases we find a neurovascular compression of the nerve at its root entry zone in the posterior cranial fossa. http://www.nch.med.uni-erlangen.de/forschung/neurovask_e.php

Our Clinic Therapies / Consultation hours Research Research report ... Deutsch Neurovascular compression syndrome [1] General information [2] Clinical pictures 2.1 Trigeminal neuralgia 2.2 Spasmus hemifaciei (hemifacial spasm) 2.3 Vertigo / Tinnitus 2.4 Glossopharyngeus neuralgia ... [3] Microvascular decompression General information A neurovascular compression is described as a prominent pathological contact between cerebral nerves and vessels. This contact builds up in the so-called root entry zone of a cerebral nerve, where we find a weaker myelinum casing of the nerve fiber (axon). This region varies in length depending on the different cerebral nerves and is located close to the brainstem. This results in typical clinical pictures in the prevailing cerebral nerves. The trigeminal neuralgia, the spasmus hemifacia (spasmus hemi-facialis) and the glossopharyngeus neuralgia are typical clinical pictures of where neurovascular compression is the predominant cause. There have also been indications that a row of other diseases, such as arterial hypertonia and certain forms of light-headedness and tinnitus are closely related to neurovascular compression. Microvascular decompression is the currently recognized operational method chosen for successful treatment of syndromes caused by neurovascular compression. It is possible today, using high-resolution magnet resonance imaging scanners and specific experience and knowledge to portray a neurovascular compression in a large number of patients who display the above-mentioned symptoms.

96. U.S. Pharmacist Carpal Tunnel Syndrome. A Major Entrapment Neuropathy in the Elderly Seniors with CTS often present with doublelevel nerve compression, http://www.uspharmacist.com/index.asp?show=article&page=8_1332.htm

97. Carpal Tunnel Syndrome: Online Reference For Health Concerns Carpal Tunnel Syndrome a condition in which the nerve that travels The entrapment or compression of the median nerve may be mild, moderate, or severe. http://www.lef.org/protocols/prtcl-141.shtml

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98. THE MERCK MANUAL OF GERIATRICS, Ch. 55, Hand Disorders compression of the ulnar nerve at the elbow, resulting in numbness and Cubital tunnel syndrome is differentiated from ulnar nerve entrapment at the http://www.merck.com/mrkshared/mmg/sec7/ch55/ch55c.jsp

99. Hospital Practice: Carpal Tunnel Syndrome Median nerve compression had apparently developed as a result of her employment. Muscle nerve 21711, 1998. Phalen GS The carpal tunnel syndrome http://www.hosppract.com/issues/1999/03/ceatch.htm

Carpal Tunnel Syndrome: Is It Work-Related? STEVEN G. ATCHESON Arthritis Specialists of Northern Nevada The reported incidence of work-related carpal tunnel syndrome has skyrocketed; however, many cases have an underlying systemic cause. A methodical investigationincluding appropriate imaging studies and laboratory testingcan differentiate symptoms that are primarily occupational from those with associated medical illness or obesity. Dr. Atcheson is a board-certified rheumatologist practicing in Reno, Nev. Case Presentation A 59-year-old woman was referred for evaluation of hand numbness that had persisted after carpal tunnel surgery. Her problems had begun nine years earlier with onset of pain at the base of each thumb. Regular use of ibuprofen allowed her to continue working. After three years, nocturnal numbness and tingling developed in both hands. These symptoms were relieved by activity, however. The patient, a professional card dealer for more than 30 years, had assumed that her thumb pain was work-related. When it developed nine years earlier, she had consulted an orthopedist, who diagnosed osteoarthritis of the basilar thumb joints and CTS. He advised her to file a workers' compensation claim, which was accepted. She subsequently underwent bilateral carpal tunnel releases, arthroplasties of the first carpometacarpal joints, and trapeziectomies. At surgery, slight flattening of the right median nerve was noted. The left median nerve appeared to be normal. After returning to her regular job, she had experienced only minimal discomfort in her thumbs while dealing cards, but the nocturnal hand numbness continued. Five years after surgery she applied for reopening of her compensation claim because of paresthesias on the palmar sides of the third, fourth, and fifth digits while at rest. Shaking or other hand activity relieved the discomfort. Her workers' compensation physician warned that she faced permanent nerve damage if she continued to work as a card dealer and advised her to change occupations. Reluctant to do so, she decided to seek a second opinion.

100. Shajehan S, Fazal Gafoor PA, Krishna Kiran, Usha R Experience With Fascia Lata G The clinical manifestations of neurovascular compression syndromes of the Vascular compression of cranial nerves in the posterior fossa due to arterial http://calicutmedicaljournal.org/2004/2/1/e4/

Original Report Calicut Medical Journal 2004;2(1):e4 Experience with fascia lata graft for Micro-Vascular Decompression for Trigeminal neuralgia and Hemi-facial spasm Shajehan S, Fazal Gafoor PA, Krishna Kiran, Usha R Dept of Neurosciences and Dept of Radiology, National Hospital,Calicut, Kerala, India . Address for Correspondence: Dr Shajehan S Dept of Neurosciences and Dept of Radiology, National Hospital, I. G. Road, Calicut, Kerala, India 673001. E-Mail: shajeus@snacharnet.in Abstract The efficacy of Micro-Vascular Decompression (MVD) as a treatment modality for Trigeminal Neuralgia and Hemi-facial spasm and other cranial nerve compression syndromes of the posterior cranial fossa is well established. Various types of implants have been used during MVD to keep the offending vessel away from the nerve. We have used fascia lata in a series of 10 patients who underwent MVD over a period of 2 years. Graft related complications like aseptic meningitis, slipping of the graft with resultant recurrence of neuralgia etc., were not encountered in these patients. All patients had excellent relief of symptoms. The vascular anomalies encountered, the procedure, the results and the advantages of using fascia lata as graft are discussed.

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