Cervical radiculopathy

Med Clin North Am. 2014 Jul;98(4):791-9, xii. doi: 10.1016/j.mcna.2014.04.001.

Abstract

Cervical radiculopathy is the result of irritation and/or compression of nerve root as it exits the cervical spine. Pain is a common presenting symptom and may be accompanied by motor or sensory deficits in areas innervated by the affected nerve root. Diagnosis is suggested by history and corresponding physical examination findings. Confirmation is achieved with MRI. A multimodal approach to treatment helps patients improve. Medications may be used to alleviate symptoms and manage pain. Physical therapy and manipulation may improve neck discomfort. Guided corticosteroid injections and selected nerve blocks may help control nerve root pain. Most patients improve with a conservative, nonoperative treatment course.

Keywords: Cervical radiculopathy; Neck pain; Shoulder pain; Spurling test.

Publication types

  • Review

MeSH terms

  • Analgesics / therapeutic use
  • Cervical Vertebrae*
  • Diagnosis, Differential
  • Humans
  • Injections, Intra-Articular
  • Physical Examination
  • Physical Therapy Modalities
  • Radiculopathy / diagnosis*
  • Radiculopathy / surgery
  • Radiculopathy / therapy*
  • Shoulder Pain / diagnosis*
  • Shoulder Pain / therapy*

Substances

  • Analgesics