Plexitis is an inflammation of a plexus (branching network of intersecting nerves). The following types of nervous plexus are present in the human body: cervical, brancheal, lumbar and sacral.
Brachial plexitis is a diagnosis of exclusion, which means that doctors must rule out other possible pathologies before making a diagnosis. Most of these tests are good at determining or excluding other diagnoses, but not at confirming a diagnosis of brachial plexitis.
SYMPTOMS AND SIGNS
The most common initial symptom is the acute onset of severe pain. This pain occurs in 95% of patients. The pain can affect: 1) shoulder, with or without radiation to the upper arm (39.7%), 2) neck with a drop down the arms (35.4%), 3) shoulder blade and posterior happiness of the chest, radiating to the hand (18.8%), 4) forearm and fingers (6.1%). It is a constant pain with variable force, which is intensified by the movement of the shoulder or arm. The pain can last from two to three hours to more than other weeks. Sensitivity disorders account for 78% of cases. Tingling occurs in 35% of cases.
THE DIAGNOSIS IS BASED ON Medical history Clinical exam
additionally you may have to do: Magnetic resonance imaging (MRI) Computer tomography Myelography Radiographs Functional (dynamic) radiographs
Diagnostic nerve root block
Facet joints block Electromyography
TREATMENT Nonsteroidal anti-inflammatory drugs Corticosteroids Physiotherapy
Immobilization with belt Physical exercise
Strengthening the back muscles Treatment with heat (Fango)
WHICH OTHER DISEASES SHOULD BE EXCLUDED (DIFFERENTIAL DIAGNOSIS)? Neck pain Radiculitis Tumor of the spine
Diseases of the shoulder or elbow Carpal Tunnel Syndrome Ulnar Tunnel Syndrome A disease of peripheral nerves (e.g. polyneuropathy) Vertebral fractures
Chest tumor Spinal abscess
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