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Where is the best placement for radial nerve stimulation?

Linda van der Merwe
(@linda-vd-merwe-physiotherapists)
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The patient has had numbness in the forearm for years. Two treatments were done with good effect. The pain and numbness have been away for nearly a week. But I am not sure if my placement is optimal. 


   
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(@phyllis-berger)
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Where did you place the Stimpod? If you treat the brachial plexus sup and inf, it will involve all the nerves from C5 to T1.


   
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Linda van der Merwe
(@linda-vd-merwe-physiotherapists)
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I placed the probe on the contralateral side of the neck, approximately C2-3 facet region, and then stimulated above the elbow. Originally, I was looking for the radial groove but ended up getting a better response above the elbow and palmar aspect of the hand just below the wrist.

I’m worried that I am more on the median nerve and ulnar nerve and the patient’s problem is more on the extensor aspect of the forearm.


   
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(@phyllis-berger)
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C2-3 is too high. Go to the brachial plexus and treat there. Then you can also find the radial nerve on the extensor surface of the elbow of you need to. 


   
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Linda van der Merwe
(@linda-vd-merwe-physiotherapists)
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Okay, so C5-T1 and the other for brachial stims under the axilla?


   
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(@phyllis-berger)
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I use the brachial plexus superior and inferior to the clavicle. That’s really all you need!


   
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Linda van der Merwe
(@linda-vd-merwe-physiotherapists)
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Topic starter  

Thank you! I will try that next time and check the response.🙏

Much appreciated Prof. Phyllis!


   
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