Pseudoradicular and Reflexive Syndromes

Mutual features of all pseudoradicular and reflexive syndromes are:

 

1.  A radiation of pains during the course of an affected segment

2.  A hypertonus of muscles of this segment

3.  blockades of joints in the whole moving segment4

4.  vegetative changes and hyperalgic zone (with typical localization for affection of some    internal     organs)

 

 

 

Difficulties of Diagnostics of Reflexive Algic Syndromes

But mutual features of all reflexive syndromes bring several difficulties to the diagnostics in the clinical practice because f. e.:

Pain

It should not be felt in the place of an origin of the disorder, but  it can be propagated only on periphery. A patient does not complain so much f. e. of pains in the cervical spine, but he only shows on the place where the pain is reflexively screened5.

Muscular hypertonus

It is present in the course of the whole segment. On the other hand, it can evoke a blockade of moving segment itself. A chronic overloading of muscles, f. e. by peccant moving stereotype, can secondarily evoke a blockade of corresponded moving segment of the spine. It often leads to the repeated recidivity of problems at unblockade of the spinal segment because the primary cause lasts.

Connection of internal organs and segment structures of moving segment

A moving segment of the spine and structures with the same innervation also react on the disorders of internal organs6. And therefore at the affection of internal organs we can meet on the basis of viscerovertebrogen relations the hyperalgic zones and pains as the first symptom of disorder of internal organs.

 

4 i.e. blockades of joints also on the periphery of the limb for example in the radio-ulnar articulation, carpal joints

5this periphery projection of pains without any obvious relation to the primary affection of  a blockaded segment is similar to the peripheral propagation of pains at the radicular syndrome

6each organ has its own moving segment corresponding to mutual innervation