Cervical radiculopathy

Cervical radiculopathy describes a condition in which impingement/irritation of the cervical nerve roots causes symptoms in the neck/upper limb

The classical presentation is arm/neck
  • Pain 
  • Weakness 
  • Numbness

If C7 is affected there may be scapula winging. 

Causes of cervical radiculopathy include 
  • Disc herniation 
  • Bony degeneration 

  • Clinical impression/provocation tests 
    • Upper limb tension test – high sensitivity 
    • Spurling’s test or shoulder abduction test– high specificity 
  • Electromyographical studies 
  • Imaging – MRI, CT myelography 

  • Analgesia 
  • Note that for most patients signs and symptoms will resolve spontaneously over time without treatment 
  • ? TCA 
  • ? epidural steroid injection 
  • ? surgical decompression 

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