Double-Crush Syndrome

Carpal-tunnel and other entrapment syndromes are perhaps the most common work-related injuries currently reported. With this book, Vladimir Golovchinsky presents the first evidence of double-crush syndrome as a subgroup of these.
To date the existence of double-crush syndrome has been a matter of debate. Dr. Golovchinsky presents a statistical analysis of substantial clinical material, which finds a cause-and-effect relationship between cervical or lumbar radiculopathy and peripheral entrapment in corresponding nerves, thus proving the existence of double-crush syndrome.
This book will be invaluable to physicians performing EMG-NCV testing and to other healthcare professionals who encounter peripheral entrapment syndromes in their practices.

1 Peripheral entrapment syndromes. A review of literature.- 1.1 Carpal tunnel syndrome.- 1.2 Cubital tunnel syndrome.- 1.3 Ulnar neuropathies at the wrist and hand.- 1.4 Tarsal tunnel syndrome.- 1.5 Anterior tarsal tunnel syndrome.- 2 Double-crush syndrome. Does it exist?.- Proximal nerve damage and peripheral entrapment.- Diffuse nerve damage and peripheral entrapment.- Literature.- 3 Double-crush syndrome in upper limbs. A statistical approach.- Statistical analysis.- Results.- Interpretation.- Literature.- 4 Double-crush syndrome in lower limbs. A statistical approach.- Statistical analysis.- Results.- Interpretation.- Literature.- 5 Retrograde diffuse mononeuropathy secondary to peripheral entrapment. Reversed double-crush syndrome.- Statistical analysis.- Interpretation.- Literature.- 6 Discussion and clinical implementations.- Impairment of axonal transport.- Impairment of circulation.- Endoneural edema.- Underlying peripheral neuropathy.- Impairment of neural excursion and elasticity and mechanical deformation of nerve fibers.- Underlying connective tissue abnormalities.- Conclusion.- Literature.