Where is Tinel's sign typically performed in the cervical area?

Tinel's sign is a clinical test used to assess nerve dysfunction. In the cervical area, this test is typically performed along the superficial area behind the sternocleidomastoid (SCM) muscle. This specific location is important because it allows the clinician to tap over the course of the cervical nerves or the brachial plexus, as these structures are located in proximity to the SCM.

Performing Tinel's sign in this area can help to identify nerve irritation or injury, particularly in conditions such as thoracic outlet syndrome or cervical radiculopathy. The tapping motion elicits a tingling sensation along the distribution of the affected nerve if there's neuropathy present.

The other options do not align with the typical application of Tinel's sign in the cervical region. The anterior cervical spine is generally more focused on palpation for other assessments, while the shoulder joint and axilla are locations where nerve issues might also be tested but are less relevant for Tinel's sign specifically assessing the cervical nerves.