25/11/2025
The C7 nerve root is one of the most clinically important cervical roots. It controls motor strength, sensation, and reflexes of specific areas in the upper limb.
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🧠 1. Motor Function (Muscle Control)
C7 mainly controls elbow extension and wrist/finger extension.
Key muscles supplied
• Triceps brachii → Elbow extension (most important)
• Wrist extensors → Wrist extension
• Finger extensors → Finger opening / extension
• Pronator teres (partially) → Forearm pronation
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🖐 2. Sensory Function (Skin Sensation)
C7 supplies sensation to the middle hand region:
• Middle finger (most classic area)
• Part of index + ring finger
• Dorsal hand central area
This is why C7 radiculopathy = middle finger numbness/tingling.
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🔁 3. Reflex Associated
Triceps reflex
• Weak or absent in C7 nerve root compression.
💉 4. Common Clinical Problems With C7 Root
C7 Radiculopathy
Usually from:
• C6–C7 disc herniation
• Foraminal stenosis
Typical symptoms
• Pain radiating down posterior arm → back of forearm → middle finger
• Weakness of triceps (difficulty pushing, doing push-ups)
• Weak wrist extension (wrist “drops”)
• Reduced triceps reflex
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🦴 5. Easy Infographic Summary (Text Version)
C7 Nerve Root
Motor:
➡️ Triceps (elbow extension)
➡️ Wrist extensor
➡️ Finger extensor
Sensory:
➡️ Middle finger
Reflex:
➡️ Triceps reflex
Clinical:
➡️ C7 = “Middle finger radiculopat