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Radiculopathy refers to pain that is referred from the spinal nerve roots to other parts of the body. Throughout our Dallas, Irving, Red Oak and Plano offices cervical radiculopathy may occur when the spinal nerve roots are irritated or compressed (nerve root compression) by one of many conditions, including disc herniation, spinal stenosis, osteophyte formation, or other degenerative disorders.
Cervical radiculopathy symptoms may include pain, tingling, numbness, weakness, and reflex loss. Cervical radiculopathy symptoms may present in the neck, shoulders, arms, hands, and fingers.
Your spine doctor at our Dallas, Irving, Red Oak or Plano office will consider your medical history and symptoms and give you a physical examination, during which the doctor will look for limitations of movement in the spine, problems with balance, and signs of pain, as well as any loss of extremity reflexes, muscle weakness, sensory loss, or abnormal reflexes that may suggest spinal cord involvement.
An MRI or CT/myelography can confirm the presence of cervical radiculopathy and determine where it is located.
Cervical radiculopathy can occur in a wide variety of patients. Younger patients (<50) tend to get this from disc herniations, and older patients can get this from arthritic conditions involving bone spurs.
Interventional treatments for cervical radiculopathy may include:
- Physical therapy and or exercises to help relieve the pressure on the nerve root
- Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and analgesics to relieve pain
- Epidural steroid injections and nerve root injections to help reduce swelling and treat acute pain that radiates to the hips or down the leg.
If nonsurgical interventional treatment fails to relieve pain, surgical removal of the disc may be reasonable. The disc may be removed from the back of the neck (posterior approach) or from the front (anterior approach).
Some of the surgical procedures used to treat cervical radiculopathy are:
- Anterior cervical discectomy and fusion (ACDF)
- Cervical laminectomy
- Cervical laminoplasty
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