Cervical radiculopathy, often called a pinched nerve in the neck, can cause severe pain, tingling, and weakness that runs down the arms and hands.
At Bone & Joint Specialists, where we have been voted Best of the Region in orthopedics and podiatry for the last nine years, we offer superior diagnosis and tailored treatment plans to relieve discomfort and restore quality of life.
With a wealth of expertise in musculoskeletal conditions, our team provides effective, personalized services. We utilize the latest advancements to find solutions for your needs.
What Is Cervical Radiculopathy?
Cervical radiculopathy refers to pain that radiates into the shoulder and arm due to injury to a nerve root in the cervical spine (neck). An injured nerve can send pain signals throughout the area into which it extends. Cervical radiculopathy can result from a herniated disc, a bone spur, an injury to the spine, or osteoarthritis.
Causes of Cervical Radiculopathy
Cervical radiculopathy often results from pressure placed on spinal nerves by either a herniated disc or bone spur.
A herniated disc can develop when too much force is exerted on an otherwise healthy intervertebral disc. Bone spurs develop when cartilage deteriorates and bones begin rubbing against each other. Bone spurs can also cause a narrowing of the spinal canal, which can place pressure on a nearby nerve.
Additional causes of cervical radiculopathy include the following:
- Aging
- Degenerative diseases such as arthritis
- Conditions that cause changes in bones
- Traumatic injury
Although aging can cause disc changes that result in cervical radiculopathy, not everyone with aged, worn discs is affected.
Symptoms of Cervical Radiculopathy
Cervical radiculopathy can result in pain that radiates down one or both arms or into the shoulders. Certain movements, such as extending the neck, turning the head, or pulling on the affected area, can worsen the pain. Additional symptoms of cervical radiculopathy include the following:
- Muscle weakness in the arm, neck, chest, upper back or shoulders
- Tingling sensations down to the hands
- Numbness
A lack of coordination, particularly in the hands, can also be a symptom of cervical radiculopathy.
Diagnosis of Cervical Radiculopathy
To diagnose cervical radiculopathy, a complete medical history is taken, and a physical examination is conducted. The exam typically includes an evaluation of the patient's strength, reflexes, and sensation of feeling.
To ensure the most accurate diagnosis, several diagnostic tests may also be performed. These tests may include:
- X-rays to view spinal alignment and discs
- A CT scan to obtain detailed views of the spinal bones
- An electromyogram to examine electrical activity along the nerve
MRI scans are the most commonly performed tests used to evaluate spinal conditions because they offer clear visualization of the abnormal areas of soft tissue around the spine. In many cases, MRI scans are the only test needed to determine the cause of neck pain.
Unlike other imaging tests, MRI scans use magnetic fields and radio waves to view the structures of the neck. MRI scans also enable a thorough examination of the nerves and discs without using any dyes or needles.
Treatment of Cervical Radiculopathy
Cervical radiculopathy is generally first treated with conservative measures.
Treatment plans may include a combination of medications, including anti-inflammatory drugs and oral corticosteroids, to help reduce pain and swelling. Steroid injections in the spine can be very effective for decreasing swelling, allowing for healing to take place. In severe cases, stronger prescription pain medications may be necessary.
Physical therapy can help strengthen the muscles in the problem area, maximize flexibility with stretching exercises, and take some pressure off the injured nerve roots. Cervical radiculopathy patients may also need to wear a soft collar around the neck to limit the range of motion in the neck and rest the muscles.
If conservative measures fail to provide a patient with relief or symptoms are worsening, surgery is often required. There are several types of procedures used to correct cervical radiculopathy:
- Anterior cervical discectomy and fusion (ACDF) is the most common surgery for treating cervical radiculopathy. It restores the alignment of the spine and reduces compression on the nerves.
- Posterior cervical laminoforaminotomy is another procedure used to alleviate symptoms; it removes portions of the spinal bones that are compressing the nerve roots.
- Artificial disc replacement (ADR) is performed to remove the worn disc, relieve nerve pressure, and restore height between the vertebrae.
FAQs
Can Cervical Radiculopathy Cause Headaches?
Yes, cervical radiculopathy can cause headaches. This is particularly true in cases where nerve compression affects the upper cervical spine (C1-C4).
These headaches are often called cervicogenic headaches. They can be triggered by nerve irritation and muscle tension in the neck region. The pain usually starts at the base of the skull and may radiate to the front of the head, temples, or behind the eyes.
Proper management of cervical radiculopathy through therapy or other treatments, can help alleviate these headaches.
What Lifestyle Changes Can Help Prevent Cervical Radiculopathy?
You may be able to prevent cervical radiculopathy by maintaining a healthy spine and avoiding stress on the neck. Here are some lifestyle changes that can help:
- Regular exercise, particularly strengthening and flexibility exercises for the neck and shoulders, helps reduce the risk of nerve compression.
- Good posture is essential, especially during prolonged activities such as working at a desk.
- Ergonomic adjustments, such as using a supportive chair or adjusting screen height, can also reduce strain.
- Maintaining a healthy weight will reduce pressure on the spine.
- Avoiding smoking can improve overall spinal health.
How Is Cervical Radiculopathy Related to Poor Posture?
Poor posture significantly contributes to cervical radiculopathy. This is because it places unnecessary strain on the cervical spine.
Slouching, hunching forward, or looking down for extended periods (such as when using a smartphone or computer) can lead to muscle imbalances, increased pressure on the cervical discs, and eventual nerve compression.
Over time, these postural issues can cause or worsen cervical radiculopathy symptoms, such as neck pain, tingling, and numbness. Adopting and maintaining proper posture is a critical preventive measure.
Can Stress Exacerbate Cervical Radiculopathy Symptoms?
Yes, stress can exacerbate cervical radiculopathy symptoms.
When under stress, muscles in the neck and shoulders tend to tighten, increasing tension around the cervical spine. This added muscle tension can intensify nerve compression. It can lead to heightened pain, tingling, and other radiculopathy symptoms.
Additionally, stress may lower the pain threshold, making existing discomfort feel more severe. Stress management techniques (relaxation exercises, mindfulness, physical activity, etc.) can help mitigate these effects and improve overall symptom management.
Why Choose Bone & Joint Specialists?
Bone & Joint Specialists is Indiana's premier center for orthopedic care and an award-winning practice. We offer cutting-edge treatments for cervical radiculopathy, as well as knee, foot, ankle, and shoulder pain.
Our surgeons use the latest techniques to provide personalized care, from injections to physical therapy. We work hard to ensure patients receive the best possible outcomes.
Whether you're seeking relief from chronic pain or need advanced orthopedic treatment, our team will help you regain mobility and improve your quality of life.
Schedule a Consultation Today
Do you suspect that cervical radiculopathy is the source of your pain? If so, our Bone & Joint Specialists team is here to help.
We have locations in Highland, Hobart, and Merrillville, Indiana. Call us at 219.795.3360 or reach out through our website to schedule a consultation.
