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I’m Andy Coombs, and in this session I’ll guide you through the process of differentiating cervical radiculopathy from peripheral nerve neuropathies of the radial, median, and ulnar nerves.
I’ll explore:
▪︎ How to decide if symptoms are truly neuropathic
▪︎ Key differences between radicular and peripheral presentations
▪︎ The role of clinical reasoning, special tests, and neuro-dynamic assessments
▪︎ Real case examples that highlight the challenges of accurate diagnosis
By the end, you’ll have practical strategies and tools to apply clear, structured reasoning in distinguishing these often-overlapping conditions.
How to tell neuropathic pain from neuropathy, how the NeuPSIG grading system builds the case for neuropathic pain, why radicular and peripheral nerve presentations overlap, and a case of sudden thumb weakness.
A cross-check framework, adapted from Robblee and colleagues, for separating cervical radiculopathy from median, radial and ulnar neuropathies using sensory maps, key muscles including the LOAF group, reflexes and provocation tests.
How the cross-check framework resolved the thumb weakness case, and why muscles with several root origins, anatomical variants, neuroinflammation and coexisting entrapments can blur radicular and peripheral nerve presentations.
I’m Andy Coombs, and in this session I’ll guide you through the process of differentiating cervical radiculopathy from peripheral nerve neuropathies of the radial, median, and ulnar nerves.
I’ll explore:
▪︎ How to decide if symptoms are truly neuropathic
▪︎ Key differences between radicular and peripheral presentations
▪︎ The role of clinical reasoning, special tests, and neuro-dynamic assessments
▪︎ Real case examples that highlight the challenges of accurate diagnosis
By the end, you’ll have practical strategies and tools to apply clear, structured reasoning in distinguishing these often-overlapping conditions.
We usually answer within a minute.
Ask anything about your membership, certificates or what is in the library.
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