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Updated: Jan 30, 2026
06:11
Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
13.3K
Inciting Events Associated With Cervical Radiculopathy.
James Rainville1,2, Moorice Caparó1,3, Eric Laxer4
1Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.
PM & R : the Journal of Injury, Function, and Rehabilitation
|January 27, 2019
Summary
Most cervical radiculopathy (CR) cases begin without a specific trigger, with two-thirds of patients reporting symptom onset upon waking or without a memorable event. Physical inciting events do not impact CR severity.
Area of Science:
- Neurology
- Orthopedics
- Radiology
Background:
- Cervical radiculopathy (CR) involves neck, shoulder, and arm pain with sensory/motor deficits.
- Degenerative spine pathology causing nerve root impingement is a common cause, visualized by MRI or CT.
- Factors initiating CR onset have not been previously explored.
Purpose of the Study:
- To identify and categorize patient-reported inciting events linked to CR onset.
- To determine the frequency of various inciting events in CR patients with confirmed pathology.
- To analyze the correlation between inciting events and CR clinical characteristics.
Main Methods:
- Prospective observational case series design.
- 107 patients with MRI/CT-confirmed cervical disk herniation or foraminal stenosis were included.
- Inciting events were categorized by severity; clinical data and pain intensity were recorded.
Main Results:
- Two-thirds of patients experienced CR onset without a specific memorable event (e.g., waking with symptoms).
- One-third of patients reported physical activity or trauma as inciting events.
- CR clinical characteristics were not significantly influenced by the category of inciting event.
Conclusions:
- The majority of cervical radiculopathy cases with confirmed spinal pathology arise spontaneously.
- Physical inciting events do not appear to alter the clinical severity of cervical radiculopathy.
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