ASSESSMENT
carpal tunnel syndrome: retinaculum and wrist bones
rarely refers up to the neck
carpal ligament = flexor retinaculum
9 flexor tendons and veins, art, nerves
fit b/w bones
median nerve most superficial and most affected
thumb/1st two fingers
Phalen's test
Tinel sign
over flexion- inflame tendon; with sheath, tendosynovitis
motor nerve are deeper
deeper is more serious
TOS- discomfort can refer down to wrist
entrapment site
3 areas of nerve entrapment:
scalenes- adson, allen
pec minor- wrights
clavicular- military
Test stuff
cervical spine
apex c5/c6
forward head, excessive nerve compression
most common neck pain
close intervert. space
compress nerve and facets
wear down cartilage
early degeneration disc
c1/c2 rotation
c5-c8/t1
c5-c8/t1- brachial plexus comes from
know knee stuff
tests
everything
review end feels
PROM- jt
inert and contractial tissue
overlengthen mm weakens
tendon stuff
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