Cervical Radiculopathy
Cervical radiculopathy is pain, numbness, or weakness caused by compression or irritation of a cervical nerve root. It most commonly results from disc herniation or foraminal stenosis and typically affects the C6 or C7 nerve roots.
Symptoms
- Unilateral arm pain following a dermatomal pattern
- Neck pain radiating to shoulder, arm, or hand
- Numbness and tingling in specific finger distributions
- Weakness in muscles innervated by the affected root
- Symptoms worsened by neck extension and rotation
- Positive Spurling's test
Causes
- Cervical disc herniation
- Cervical foraminal stenosis
- Cervical spondylosis
- Disc osteophyte complex
- Rare: tumor, infection
Diagnosis
Accurate diagnosis is essential for effective treatment. Clinicians typically use a combination of:
- Clinical examination with Spurling's test, distraction test
- Cervical MRI (gold standard)
- CT for bony detail
- EMG/Nerve conduction studies
- X-ray for screening
Treatment Approaches
Related Procedures
🚨 Red Flags
Seek urgent medical evaluation if you experience any of the following:
- ⚠️ Bilateral upper limb symptoms (myelopathy)
- ⚠️ Gait disturbance
- ⚠️ Lhermitte's sign
- ⚠️ Progressive motor deficit
Frequently Asked Questions
Related Conditions
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Sciatica
Sciatica refers to pain that radiates along the path of the sciatic nerve, from the lower back through the hips and buttocks and down the leg. It typically affects one side of the body and is caused by compression of the sciatic nerve roots (L4-S3), most commonly from a lumbar disc herniation or foraminal stenosis.
Lumbar Spinal Stenosis
Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal, lateral recesses, or neural foramina in the lumbar spine that results in compression of neural structures. It is the most common reason for spinal surgery in adults over 65 and is typically caused by degenerative changes including disc bulging, facet joint hypertrophy, and ligamentum flavum thickening.
Facet Joint Syndrome
Facet joint syndrome (zygapophyseal joint syndrome) is pain arising from the facet joints of the spine due to degenerative changes, injury, or inflammation. It is a common cause of chronic spinal pain and is diagnosed clinically and confirmed with diagnostic medial branch blocks.
Sacroiliac Joint Dysfunction
Sacroiliac (SI) joint dysfunction refers to pain originating from the sacroiliac joint complex, a common but often underdiagnosed cause of low back and buttock pain. The SI joint transmits forces between the spine and lower extremities and can become painful through inflammatory, degenerative, or traumatic mechanisms.
Dr. Shahnawaz F Shah
Interventional Spine & Pain Physician
Dr. Shah specializes in the diagnosis and management of cervical radiculopathy using evidence-based approaches tailored to each patient's needs.
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