Degenerative joint disease question.

[Guest guest]

He continued to have pain in the neck or left shoulder with radiation down

to the arms, especially involving the first and second finger, left. Review

of previous records shows degenerative joint disease in the lumbosacral

spine.

IMPRESSION:

1. Degenerative joint disease with possibly **impeachment** of the

**cervical, brachial, cervical** nerve.

I don't know my ortho real well. Would I be correct that where I think I am

hearing impeachment that it is really impingement?

Also, the doctor as he dictates is definitely stumbling over the brachial

cervical part. Does brachial cervical sound right or should it just be

cervical nerve or just brachial nerve. I cannot document a braciocervical

nerve so I am guessing that is not what he is referring to.

Bev W.