Manual-Medical Differential Diagnosis of Pain in the Upper Extremity ("Arm and Hand Pain") Including Osteopathic Methods

作者：Buchmann J^*; Arens U; Harke G; Kayser R; Smolenski U C

来源：Physikalische Medizin Rehabilitationsmedizin Kurortmedizin, 2010, 20(2): 97-114.

DOI：10.1055/s-0029-1223400

• arm-hand-pain
• ventral scapular syndrome
• epicondylopathy
• palmar syndrome
• trigger point
• manual medicine
• osteopathy

Pain at the upper extremity is similarly frequent like in the shoulder-region, also combined regularly. The patients often impaired strongly. In this contribution, manual-medical syndromes are described, that partially fit into existing ideas like epicondylopathy, but also represents independent entities. Typical manual-medical findings are represented on the basis of main symptoms. The differential-diagnostic delimitation, particularly to the neurological and orthopedic syndromes, is outlined extensively. The proposed manual-medical-osteopathic approach makes differential-diagnostic considerations possible beyond compression of peripheral nerves, bone or joint associated illnesses or circulatory disorders. It offers the possibility to an effective functional treatment-planning and could possibly replace invasive intervention in particular cases.

• 出版日期2010-4