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When a reflex disappears, it’s not the muscle that’s the problem — it’s the communication line between the muscle and the spinal cord. ⚡ That missing response can reveal a lot: • Nerve root compression (like a C5–C6 radiculopathy) • Peripheral nerve injury (musculocutaneous, radial, or ulnar) • Lower motor neuron lesion • Or even advanced neuropathy Next steps for the doctor: 1. Perform a detailed neurologic exam — test other reflexes, strength, and sensation. 2. Identify the pattern — is it one
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When a reflex disappears, it’s not the muscle that’s the problem — it’s the communication line between the muscle and the spinal cord. ⚡ That missing response can reveal a lot: • Nerve root compression (like a C5–C6 radiculopathy) • Peripheral nerve injury (musculocutaneous, radial, or ulnar) • Lower motor neuron lesion • Or even advanced neuropathy Next steps for the doctor: 1. Perform a detailed neurologic exam — test other reflexes, strength, and sensation. 2. Identify the pattern — is it one
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In this clip, PRRT founder John Iams and master instructor Charles Renner walk through a reflex based assessment of the rotator cuff. They palpate supraspinatus, infraspinatus, and teres minor, then use a reflex tap to reset the protective response. You will notice an NSR, which means Nociceptive Startle Response. For new viewers, think of an NSR as a protective reflex pattern similar to a trigger point. One key detail not mentioned is that we tap over the pec major tendon attachment. This activ
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