The differential diagnosis of a positive Carnett's test includes hernias, nerve entrapment syndrome, irritation of intercostal nerve roots, anterior cutaneous nerve entrapment, rib-tip syndrome, myofascial pain, trigger points and rectus sheath hematomas.
22.
By identifying conditions such as alterations in the normal vertebral curves, minor subluxation of vertebral bodies and pressure on the peripheral portions of the intercostal nerves, he was able to employ various mechanical treatments to correct the abnormalities and relieve his patients symptoms.
23.
In a review, it was reported that the muscle was innervated by the external or internal thoracic nerves in 55 % of the cases, by the intercostal nerves in 43 % of the cases, while the remaining cases were supplied by both nerves.
24.
The first clear description of anterior abdominal wall pain arising from structures other than the underlying viscera was Cyriax in 1919 . Cyriax considered that pain could be mimicked by lesions that arose from the vertebra, ribs or other associated structure or that they were the result of direct irritation of intercostal nerves.
25.
In reference to the muscles of the thoracic wall, the intercostal nerves and vessels run just behind the internal intercostal muscles : therefore, they are generally covered on the inside by the parietal pleura, except when they are covered by the innermost intercostal muscles, innermost intercostal membrane, subcostal muscles or the transversus thoracis muscle.
26.
The "'fourth intercostal nerve "'is enervated by cutaneous slowly-adapting and rapidly-adapting mechanoreceptors, especially by ones densly-packed under the areola; enervation subsequently triggers oxytocin release, which, when in the peripheral bloodstream, causes myoepithelial cell contraction and lactation : this is an example of a non-nerve-innervation muscular reflex.
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