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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Diagnostic Uncertainty in Cervical Radiculopathy.

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Early electromyography (EMG) is crucial for diagnosing cervical radiculopathy, especially with severe motor weakness. This diagnostic tool aids in effective treatment and recovery for injured service members.

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Area of Science:

  • Neurology
  • Orthopedics
  • Sports Medicine

Background:

  • Cervical radiculopathy involves pathology affecting cervical nerve roots.
  • A case of cervical radiculopathy in an active duty Marine presented with unique C5 nerve root injury and severe motor weakness.

Purpose of the Study:

  • To highlight the diagnostic utility of electromyography (EMG) in cervical radiculopathy.
  • To emphasize the importance of timely EMG in cases with profound motor deficits.
  • To demonstrate EMG's role in guiding efficient treatment for injured service members.

Main Methods:

  • Case report of an active duty Marine with cervical radiculopathy.
  • Expedited workup including Neurology referral and nerve conduction/EMG studies.
  • Comparison of EMG findings with equivocal Magnetic Resonance Imaging (MRI) results.

Main Results:

  • Nerve conduction studies and EMG were diagnostic despite equivocal MRI findings.
  • EMG proved essential in establishing an accurate diagnosis and guiding treatment.
  • The case demonstrated the effectiveness of EMG in managing cervical radiculopathy.

Conclusions:

  • EMG is a valuable tool for evaluating cervical radiculopathy, particularly when MRI is inconclusive.
  • Early EMG (4-6 weeks) is essential for profound weakness cases affecting shoulder abduction/elbow flexion.
  • Timely EMG facilitates effective management and long-term recovery for service members with cervical radiculopathy.