Physiotherapy Blog. Sharing knowledge & Encouraging growth.
Persistent pain is commonly linked to central sensitisation, or central modulating, due to pain hypersensitivity. Given this correlation, it seems very important that we assess this sensitivity. But how do we assess it, what do the results tell us, and can we assess this in the clinic?
Read MoreRecently I listed to a fantastic podcast by Jo Gibson through Clinical Edge on Thoracic Outlet Syndrome and was thrilled to learn some advances which have taken place in our knowledge of this condition since I first published a blog on the topic in 2013. Seven years later and I am excited to share a revised piece that includes the latest ideas around clinical assessment, and in particular sensory testing in the differential diagnosis of this challenging condition.
Read MoreWhen 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.
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