no
no
no

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 

Diagnosis 
  • 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 

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


References
 
author profile image
Abdelghafour

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.

no
Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)