Neck pain
Ask in clinic
- Before you see a patient with arm pain: "A C5–C6 disc herniation usually pinches which root, and what would you expect to find on exam?"
- After you examine a patient with numb or clumsy hands: "Show me Hoffmann's sign and the grip-and-release test. What else would make you worry about the cord?"
- With an axial MRI on the screen: "Point to the cord, the foramen and the exiting root. Is this central stenosis, foraminal stenosis, or both?"
Point at: the cord, the foramen and the exiting root on an axial MRI, while they name what bounds each one.
End of day: "Draw me the C5–C6 slice and write the root table from C5 to T1." Three minutes, no notes.
Where this kit and your technique differ, yours wins.