Abstract

The case records of 22 patients who presented with severe and persistent cervicobrachial pain were reviewed. The onset of their pain followed the performance of a forceful activity (lifting, pulling or pushing) using one or both arms in the outstretched position. Their symptoms and the findings on physical examination were both consistent with stretch-induced damage to neural tissues related to the painful upper limb. The predominant site of painful neural pathology appeared to be within the cervical spine.

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