Nonoperative Management of Cervical Radiculopathy

Area of Science:

• Neurology
• Orthopedics
• Physical Medicine and Rehabilitation

Background:

• Cervical radiculopathy involves upper extremity pain due to cervical nerve root compression.
• It commonly affects individuals aged 50-54 and often results from degenerative spine changes.
• Clinical presentation includes neck pain, muscle spasm, and potential motor, sensory, or reflex deficits.

Purpose of the Study:

• To review the diagnosis and management of cervical radiculopathy.
• To outline common clinical findings and diagnostic tests.
• To discuss treatment options and prognosis.

Main Methods:

• Review of clinical presentation and examination findings.
• Discussion of diagnostic confirmation methods including Spurling, shoulder abduction, and upper limb tension tests.
• Evaluation of indications for imaging and electrodiagnostic testing.

Main Results:

• Painful neck movements and muscle spasm are common findings.
• Diminished deep tendon reflexes, especially triceps, are the most frequent neurologic sign.
• Most patients experience symptom resolution with nonoperative management.

Conclusions:

• Cervical radiculopathy diagnosis relies on clinical findings, with specific tests aiding confirmation.
• Imaging and electrodiagnostic tests are reserved for specific clinical scenarios.
• Conservative treatments are typically effective, with surgery considered for persistent or severe cases.