Cervical Radiculopathy
Causes of Cervical Radiculopathy
Several conditions can put pressure on nerve roots in the neck. The most common causes for cervical radiculopathy are:
- Herniated cervical disk. In this situation, the outer layer (annulus) of the disk cracks and the gel-like center (nucleus) breaks through. This causes the disk to protrude, putting pressure on the nerve that exits the spinal column at that point.
- Spinal stenosis. Sometimes, the space in the center of the vertebrae narrows and squeezes the spinal column and nerve roots.
- Degenerative disk disease. As we age, the water content in our body cells diminishes and other chemical changes occur that can cause the disk to shrink. Without sufficient cushioning, the vertebrae may begin to press against each other, pinching the nerve, or to form bony spurs.
Diagnosis of Cervical Radiculopathy
- Comprehensive physical examination by your physician
- Gather a detailed history of your symptoms and when the pain began
- Your physician may ask you to extend and rotate your neck and/or arm to see where the pain symptoms originate
- X-rays may be ordered to see if there are any degenerative disk problems
- MRI
- CT Scan using a colored dye to outline the nerves
Treatment
Usually the treatment plan is conservative and aimed at reducing the pain by easing the pressure on the nerves. The treatment consists of three parts: rest, medication and physical therapy.
- Rest. You may have to take it easy for a few days or wear a soft cervical collar to limit motion and relieve irritation on the nerves.
- Medication: Your physician may prescribe anti-inflammatory medications to relieve pain any swelling. Examples are: ibuprofen, Naprosyn, Voltarn, Feldene
- Physical therapy. After muscle spasms subside, your orthopaedic surgeon may prescribe a cervical traction device or other types of physical therapy such as heat or cold therapies, electrical stimulation, or isometric and stretching exercises.
Your physician may try conservative treatment for a period of 8-12 weeks to relieve the pain and other symptoms. If the patient has no pain relief after this period of time, surgery may be another option. Your orthopedic surgeon will discuss the options with you. In most cases, surgery not only relieves the pain, but also improves functioning and movement of the affected areas.
If you have been suffering from low back pain, Contact Us to schedule an appointment with our board-certified orthopedic surgeon, Dr. Emmanuel. He will provide you will a comprehensive spine evaluation and treatment plan that is specific to your symptoms and lifestyle.
