Cervical Radiculopathy
What is Cervical Radiculopathy?
Cervical Radiculopathy is a condition where nerve roots in the cervical spine become compressed or irritated, leading to pain, numbness, or weakness radiating into the arm.
- Nerve root compression in the neck
- Radiating pain and sensory deficits
Overview of the Condition
It is commonly caused by degenerative changes, herniated discs, or bone spurs and may significantly affect arm function.
Symptoms
- Neck pain radiating into the arm
- Numbness, tingling, or weakness in the affected limb
- Reduced reflexes or muscle atrophy in severe cases
Causes
Caused primarily by degenerative disc disease, herniated discs, or osteophytes that compress cervical nerve roots.
Diagnosis
Diagnosis is based on clinical evaluation, nerve conduction studies, and imaging such as MRI or CT scans.
Treatment Options
- Medications including NSAIDs and oral steroids
- Physical therapy focusing on cervical traction and strengthening
- Epidural steroid injections and, if necessary, surgical decompression
Conservative Management
Initial treatment includes medications, physical therapy, and activity modification to relieve nerve pressure.
Rehabilitation Exercises
- Cervical range-of-motion exercises
- Strengthening of neck and shoulder muscles
- Postural training and stretching
Surgical Options
Surgery may be considered if conservative treatments fail; options include anterior cervical discectomy and fusion (ACDF) or posterior foraminotomy.
Anatomy Overview
The cervical spine consists of vertebrae and intervertebral discs that house nerve roots; radiculopathy occurs when these nerve roots are compressed.
Affected Areas
- Cervical spine
- Upper extremity (arm, shoulder, hand) following nerve distribution
Frequently Asked Questions
| Question | Answer |
|---|---|
| Can cervical radiculopathy improve without surgery? | Yes, many cases respond well to conservative treatment. |
| What symptoms suggest nerve involvement? | Radiating pain, numbness, and muscle weakness are common signs. |
Prevention Strategies
- Maintain good posture and ergonomic practices
- Engage in regular neck strengthening and stretching exercises
- Avoid prolonged static neck positions