Double Crush Syndrome

Authors

Affiliations

Nathaniel Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Double crush syndrome refers to a distinct compression at two or more locations along the course of a peripheral nerve that can coexist and synergistically increase symptom intensity. In addition, dissatisfactionafter treatment at one site may be the result of persistent pathology at another site along a peripheral nerve ¹

Interventions

When a loss of neural mobility is present, neural mobilizations are incorporated in order to improve gliding of the neural tissue in relation to its surroundings and minimize tension and adhesion formation. These techniques are especially important in cases of a double crush phenomenon. ²

Causes

Occurs in 50% of Thoracic outlet syndrome cases²

References

1.

Kane PM, Daniels AH, Akelman E. Double Crush Syndrome. The Journal of the American Academy of Orthopaedic Surgeons. 2015;23(9):558-562. doi:10.5435/JAAOS-D-14-00176

2.

Hooper TL, Denton J, McGalliard MK, Brismée JM, Sizer PS. Thoracic outlet syndrome: A controversial clinical condition. Part 1: Anatomy, and clinical examination/diagnosis. The Journal of Manual & Manipulative Therapy. 2010;18(2):74-83. doi:10.1179/106698110X12640740712734