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Chapter-065 Cervical Radiculopathies

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. DH Hommer
ISBN
9789386261458
DOI
10.5005/jp/books/14128_66
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
1. Uniformed Services University of the Health Sciences, Bethesda, MD, USA
Chapter keywords
Cervical radiculopathy, disc herniation, cervical root lesion, nerve conduction velocity, transcutaneous electrical nerve stimulation, TENS, conservative therapy

Abstract

Cervical radiculopathy is typically associated with cervical spondylosis and/or intervertebral disc protrusion or, less commonly, disc herniation. Disc herniation can be chronic or acute due to trauma. Pain is caused by the irritation and compression of the cervical nerve root, producing radicular symptoms and signs in the upper extremity; most commonly in C6 and/or C7. Pain due to cervical radiculopathy usually begins in the middle of the neck and radiates to the shoulder and into the upper extremity in the distribution of the involved nerve root(s). Plain X-ray can be helpful to evaluate for zygapophyseal arthritis, uncovertebral hypertrophy, and neuroforaminal narrowing; all of which can be associated with cervical radiculopathy. Use of oral steroids, nonsteroidal anti-inflammatory drugs (NSAIDs), transcutaneous electrical nerve stimulation (TENS) and other conservative measures can be beneficial for cervical radiculopathy.

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