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When brachialgia is also present, it takes several forms: a sharp pain in the pre- or postaxial border of the limb, extending to the elbow, wrist, or ngers; or a persistent dull ache in the forearm or wrist, sometimes with a burning sensation Discomfort may be elicited by coughing, Valsalva maneuver, or neck extension, or neck exion may induce electrical feelings down the spine (Lhermitte symptom) Rarely, the pain is referred substernally As to the sensory disorders (which may occasionally be absent), numbness, tingling, and prickling of the hands and soles of the feet and around the ankles are the most frequent complaints Some patients complain of numbness or paresthesias, most often in one or two digits, a part of the palm, or a longitudinal band along the forearm Slight clumsiness or weakness of a hand is another complaint. .net pdf 417 reader Packages matching PDF417 - NuGet Gallery
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