CERVICAL SPONDYLOTIC MYELOPATHY (CSM): INVERTED SUPINATOR SIGN The inverted supinator sign is the last test (next to the Babinski and Hoffmann's sign) in the cluster of Cook to screen for CSM as a red flag in the cervical spine. According to Cook et al. (2009), the Inverted Supinator Sign has a sensitivity of 61% and a specificity of 78% in the detection of cervical cord compression. Like the Hoffmann's sign, it does not have a huge clinical impact as a stand-alone test, but is helpful when used
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HOFFMANN'S SIGN OR REFLEX FOR CERVICAL SPONDYLOTIC MYELOPATHY (CSM) Next to fractures, another red flag we have to screen for in the cervical spine is cervical spondylotic myelopathy (CSM), which is an encroachment of the spinal cord at cervical level by degenerative changes (uncinate process and facet joint osteophytosis, ossification or hypertrophy of the posterior longitudinal ligament and the ligamntum flavum or subluxations of the vertebral body). If the spinal cord is compressed, our patie
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Cervical spondylotic myelopathy, or CSM Hand
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👉 Dr. Praveen Kumar (PT) | Physio Expert on Instagram: "The SCM (sternocleidomastoid) muscle can cause referred pain to your head, temples, or behind your eyes — often mistaken for migraines or tension headaches! 💆‍♂️ Proper stretching, posture correction, and trigger point release can bring real relief! 💪✨ #KnowYourMuscles #PhysioAwareness" #SCMmuscle #ReferredPain #HeadacheRelief #TensionHeadache #MigraineAwareness #NeckPain #Physiotherapy #MuscleTriggerPoints #PostureCorrection #PhysioTips
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