Neurological Examination of the Arm 14: Pain or pinprick

Use a broken wooden (orange) stick:

  • Break a wooden cotton swab to create a sharp end. The cotton end can be used for a dull stimulus.
  • Do not go from patient to patient with a safety pin. Do not use non-disposable instruments such as those found in certain reflex hammers. Do not use very sharp items such as hypodermic needles.
  • Ask the patient to respond (say "sharp" or "blunt") and to report any asymmetry.
  • Alternatively, use a disposable neurotip, specially purchased for the occasion.

 

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Power
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Power
(tests)
Co-ordination
(rapid alternating movements)
Co-ordination
(point-to-point movements)
Sensation
(light touch)
Dermatomes
(revision)
Pain or pinprick
Sensation
(vibration)
Sensation
(joint position)
Sensation
(temperature)