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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Diagnostic Tests For Parsonage Turner Syndrome?

What are some diagnostic tests that can be done to determine whether one has Parsonage Turner Syndrome? I have had severe pain in my right shoulder that radiates down my arm and into my scapular region. Sometimes the pain is accompanied by numbness in my fingers and some weakness I have had several MRIs (with and without contrast), a CT scan, and an EMG. The EMG showed substantial nerve death affecting several muscles in my back. After 6 weeks of PT and countless NSAID prescriptions, I am no closer to having an answer as to what is causing my pain.
Wed, 31 Dec 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

It is still a less understood condition.

A diagnosis of parsonage turner syndrome can be thought of if the following is present.

(i) Pain that is severe and brief (less than 7 to 10 days), and is associated with severe weakness, is indicative
(ii) A compressive lesion, such as a cervical herniated disc, needs to be ruled out by an MRI scan early on to make sure that there is nothing correctible.
(iii) After 3 weeks, an EMG study can be done to confirm the diagnosis.
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What Are The Diagnostic Tests For Parsonage Turner Syndrome?

Hi, Thanks for writing in. It is still a less understood condition. A diagnosis of parsonage turner syndrome can be thought of if the following is present. (i) Pain that is severe and brief (less than 7 to 10 days), and is associated with severe weakness, is indicative (ii) A compressive lesion, such as a cervical herniated disc, needs to be ruled out by an MRI scan early on to make sure that there is nothing correctible. (iii) After 3 weeks, an EMG study can be done to confirm the diagnosis.