There are many reasons a podiatric physician may wish to conduct a neurological examination. We may wish to assess a patient for conditions such as:
Some of the tests that may be employed are:
Reflexes assess the patient's lower motor nerves, (the nerves from the foot to the spine and back, but not the spinal cord or brain).
Light Touch Assesses the nerves and path to the brain known as the anterior spinothalamic tract.
Vibratory Assesses the patient's nerves and posterior spinothalamic tract.
Pressure Examines the patient's nerves and posterior spinothalamic tract.
Position Assesses the patient's peripheral nerves and posterior spinothalamic tract.
Sharp Dull Discrimination A comparative to discern an early change in a patient's ability to feel pain.
Two Point Discrimination Assesses the quality of patient's nervous perception.
Temperature Mostly tests nerves and path to the brain known as the lateral spinothalamic tract.
Semmes-Weinstein Monofilaments Assesses the patient's nerve perception ability and assesses the patient for a tendency to ulcers and infections.
Nerve Conduction Studies Tests the speed of transmission of a nerve impulse up the course of the nerve. Often a good indicator of disease in nerves.
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