Cervical Radiculopathy

What is Cervical Radiculopathy?

Cervical radiculopathy, also known as a pinched nerve in the neck, occurs when nerves in the cervical spine (neck region) are compressed or irritated. This condition can cause a variety of symptoms that affect your neck, shoulders, arms, and even hands, making daily activities challenging and often uncomfortable.

What Are the Symptoms of Cervical Radiculopathy?

The symptoms of cervical radiculopathy vary from person to person depending on the specific nerve root involved. Common symptoms include:

Neck Pain

Often radiates down into the shoulder, arm, or hand.

Weakness or Numbness

Affected areas may feel numb or weak, leading to challenges with gripping objects or fine motor skills.

Tingling or Pins-and-Needles Sensations

A "prickling" sensation that follows the nerve’s path.

Reflex Changes

Diminished or altered reflexes in the arms or hands.

These symptoms can range from mild to more severe and can impact your ability to perform regular activities.

Causes of Cervical Radiculopathy

Cervical radiculopathy often results from structural changes in the spine or conditions that cause nerve compression. Some common causes include:

Herniated Disc

When the soft, gel-like material inside the disc leaks out, it can put pressure on nearby nerves.

Degenerative Changes

Conditions such as arthritis or spinal stenosis (narrowing of the spinal canal) can compress nerve roots.

Trauma or Injury

A sudden injury due to an accident can lead to nerve irritation or damage.

Bone Spurs (Osteophytes)

Bony growths that develop as part of the natural aging process may press on a nerve root.

Diagnosing Cervical Radiculopathy

A thorough evaluation is essential to diagnose cervical radiculopathy accurately. This process typically includes:

Medical History Review

Understanding your symptoms, lifestyle factors, and any past injuries.

Physical Examination

Includes testing for strength, reflexes, and sensation to pinpoint areas of nerve involvement.

Imaging Tests:

X-rays

to assess bone alignment and any degenerative changes.

MRI or CT scans

to provide detailed images of the soft tissues, including discs and nerves.

Electromyography (EMG)

to evaluate nerve function and confirm nerve compression.

Treatment Options for Cervical Radiculopathy

There are several options available to manage cervical radiculopathy. Treatment plans are tailored to suit your specific condition and goals for recovery. Common approaches include:

Non-Surgical Treatments

Activity Modification

Avoid activities that exacerbate symptoms and focus on gentle neck exercises.

Physical Therapy

- Strengthens neck and shoulder muscles for better support.
- Improves flexibility and posture to reduce pressure on nerves.

Medications

- Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
- Short courses of corticosteroids to alleviate acute nerve irritation.

Epidural Steroid Injections

- Provides relief by reducing inflammation around the nerve root.
- May complement other therapies for a more comprehensive recovery.

Surgical Interventions

Surgery may be advised in cases where symptoms persist or worsen despite conservative treatments. Commonly performed procedures include:

Discectomy or Microdiscectomy

to carefully remove the portion of the herniated disc that is compressing the nerve, relieving pressure and helping to restore normal function and reduce pain.

Cervical Disc Replacement or Fusion

to stabilize the spine and ensure proper alignment following a nerve decompression procedure, promoting healing and reducing the risk of further complications

Your orthopedic specialist will guide you through the decision-making process, helping you weigh the potential risks and benefits of each treatment option.

Living with Cervical Radiculopathy

Many individuals find effective relief through a combination of treatments and lifestyle adjustments. Steps to manage your symptoms can include:

Practicing good posture during daily activities and when working at a desk.

Using appropriate ergonomic supports, such as a supportive chair or desk setup.

Engaging in regular exercise and stretches aimed at strengthening and improving neck mobility.

Following your prescribed treatment plan and attending follow-up appointments to monitor progress.

When Should You Seek Help?

If you are experiencing persistent pain, weakness, or numbness affecting your neck, shoulders, arms, or hands, consider seeking a consultation with an orthopaedic doctor. Early diagnosis and intervention can prevent potential long-term complications and restore your quality of life.

Find Relief and Support at Total Orthopaedic

If you’re struggling with cervical radiculopathy, know that care and support are available to help you along the path to recovery. Reach out to schedule a consultation and take the first step toward managing your symptoms and improving your daily life.