Sensation Testing - Peripheral Nerve Lesion

When suspecting a central nervous system lesion it is important to assess different facets of sensory integration. For example, light touch, two-point discrimination, temperature discrimination, sharp/blunt, kinaesthesia, proprioception, and stereognosis. When suspecting a peripheral nerve lesion however, it is more important to understand the difference between dermatomal and cutaneous nerve distributions. The purpose of this blog is to review aspects of sensory testing for a peripheral nerve lesion and differentiation from central nervous system lesions.

Read More

Carpal tunnel syndrome

Carpal tunnel syndrome is the most common entrapment neuropathy of the upper limb and often considered in the differential diagnosis of thoracic outlet syndrome and cervical radiculopathy. Understanding the cardinal clinical signs is paramount in assessment as there is no set criteria for diagnosis. This blog explores the presentation, assessment and neurodynamic treatments for this condition. 

Read More

Sensation Testing for Patient with Central Nervous System Lesion

I often perform upper limb and lower limb neurology testing but rarely assess other forms of sensation. This provides a comprehensive overview of sensation testing for a central lesion, with peripheral testing being described in a later blog post.

Read More