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Ultima descărcare din IBN: 2024-01-18 17:53 |
SM ISO690:2012 COPACINSCHI, Diana. L’origine cervicale de certaines dorsalgies benignes et rebelles. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2008, nr. 3(9), pp. 468-472. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 3(9) / 2008 / ISSN 1857-1719 | ||||||
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Pag. 468-472 | ||||||
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A large proportion of common dorsalgias which manifest with unilateral interscapular pain with a particularly sensitive area, always one finger breadth front the midline at the level of T5 or T6, are due to minimal changes in the lower cervical spine. Interscapular pain of a similar topography and character may result from clumsy movements of the lower cervical vertebrae or may be observed after slight cervical traumas and are commonly found in cervical radiculopathy. Thumb pressure, stage by stage, along the anterolateral aspect of the cervical vertebrae (C5, C6, C7, similar to that used for compression of a sensitive cervical root in cervical radiculopathy), will nearly always reveal a point of particular tenderness at the cervical level, on the same side of dorsalgia. If the pressure is maintained on such a spot for some seconds (but only on this spot), the familiar interscapular pain is reproduced, or significantly intensified. This test, together with the satisfactory results of cervical treatment - generally by manipulation, immobilisation whit a small cervical collar, or heat therapy – confirms the usually cervical origin this « Interscapulo-vertebral pain». A discussion of the physiopathology is presentid. |
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