Conditions We Treat

Cervical Nerve Impingement (Cervical Radiculopathy)

What Is It?

Cervical radiculopathy occurs when a spinal nerve root in the neck becomes compressed or irritated, often due to disc herniation, bone spurs, or arthritis. This leads to pain and neurological symptoms along the path of the affected nerve.

Symptoms

  • Sharp, burning, or shooting pain radiating into the shoulder, arm, or hand
  • Numbness, tingling, or muscle weakness in a nerve root pattern
  • Pain worsens with neck movements, such as extension or rotation
  • Reflex changes in some cases

Diagnosis

  • Physical exam: Spurling’s test, reflexes, dermatomal sensory testing
  • MRI to identify nerve root compression
  • EMG/NCS to confirm radiculopathy and assess severity

Treatment

Conservative Options:

  • NSAIDs, physical therapy, cervical traction
  • Activity modification and ergonomic adjustment

Interventional Options:

  • Epidural steroid injections for persistent pain

Surgical Options:

  • Foraminotomy or discectomy for severe or progressive cases

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