Brutality
| Classification according to ICD-10 | |
|---|---|
| G54.0 | Lesions of the brachial plexus Including: thoracic outlet syndrome [shoulder girdle compression syndrome] |
| ICD-10 online (WHO version 2019) | |
Brachialgia is a pain in the arm that is mainly caused by mechanical irritation or compression of the brachial plexus . Brutalgia can have various causes.
Vertebral Brachialgia
| Classification according to ICD-10 | |
|---|---|
| M50.1 | Radiculopathy in cervical disc damage |
| M54.12 | Radiculopathy: cervical area |
| M54.13 | Radiculopathy: cervicothoracic area |
| ICD-10 online (WHO version 2019) | |
In this type of brachialgia, arm pain comes from the cervical spine (vertebral column ). It is the most common cause of pain in the arm area. Affected are the roots of the sixth to eighth cervical nerves and the first thoracic nerve . The complaints can extend to the little finger. Therapy is carried out by continuously blocking the brachial plexus with pain relievers .
Brachial plexus neuritis (plexus neuritis or neuralgic shoulder amyotrophy)
| Classification according to ICD-10 | |
|---|---|
| G54.5 | Neuralgic amyotrophy Including: Parsonage-Turner syndrome, shoulder girdle syndrome |
| ICD-10 online (WHO version 2019) | |
In a neuritis of the brachial plexus is an inflammation of the Armnervengeflechts. The condition is also known as neuralgic shoulder amyotrophy or Parsonage-Turner syndrome . The pain occurs suddenly. After several days, the first paralysis of the shoulder and arm muscles appear. Numbness and sensory disturbances only occur in a third of all cases. The motor failures of the muscles regress after a few months. The therapy takes place with anti-inflammatory drugs or a blockade of the brachial plexus ( scalenus blockade )
Shoulder-hand syndrome
If a shoulder-hand syndrome is present, pain occurs in individual joints ( elbow , wrist or shoulder joints ) and radiates to other areas of the arm. An exact determination of the pain center is therefore difficult. The pain occurs at rest and is increased by straining the arm. Concomitant symptoms caused by disorders of the autonomic nervous system can be cold, cyanosis or sweating. There is a risk of confusion with Sudeck's disease . The treatment takes place with anti-inflammatory drugs , a blockade of the brachial plexus and physiotherapy.
Brachialgia paraesthetica nocturna
| Classification according to ICD-10 | |
|---|---|
| G54.5 | Neuralgic amyotrophy Including: Parsonage-Turner syndrome, shoulder girdle syndrome |
| ICD-10 online (WHO version 2019) | |
Brachialgia paraesthetica nocturna is a disease of the arm and hand that occurs mainly at night and in the early morning ( nocturnus ). Painful abnormal sensations arise, which are usually caused by incorrect positioning and thus irritation of the sympathetic fibers of the vessels of the arm (" park bench syndrome "). Depending on the extent of the incorrect positioning during the night, the pain can become chronic. If only the palm of the hand is affected by the painful abnormal sensations, it is usually a carpal tunnel bottleneck syndrome .
Brachialgia after breast removal
Often, severe arm pain occurs after a complete removal of the female breast (breast amputation ) and the axillary lymph nodes . As a result, there is a lymphatic drainage disorder or lymphatic congestion and thus a nerve compression. The arm is visibly edematous swollen. After lymphatic drainage (manually or by giving diuretics ) and swelling of the arm, the pain can be relieved by a plexus block.
Brachialgia after radiation
The symptoms are similar to plexus neuritis . By irradiation with breast cancer , there is nerve errors and damages above the clavicle and the armpit. Often the subcutaneous tissue hardens ( radiation fibrosis ) and there is a disturbance of the lymphatic drainage. The treatment of this brutalgia is very difficult. In the case of pathological changes in the skin caused by radiation, the risk of inflammation is greatly increased when nerve blocks are carried out.
Real (idiopathic) plexus neuralgia
True plexus neuralgia is a rare disease. Attack-like pain occurs. The pain is relieved by pain relievers ( analgesics ).
Insertion tendopathy
Overuse of the stylus process (processus styloideus) of ulna or radius can radiate pain into the entire arm.
Bottleneck Syndrome
see scale syndrome
Hyperabduction syndrome
Radialis humeric epicondylitis
see tennis elbow or tennis elbow
