Cervical Radiculopathy
Cervical radiculopathy occurs when nerve roots in the neck become compressed or irritated, causing pain, numbness, and weakness that radiates into the shoulder, arm, and hand.
Common Symptoms
- Sharp, burning pain in the neck that radiates to the shoulder and arm
- Numbness and tingling in specific fingers or hand areas
- Weakness in arm, hand, or specific muscle groups
- Loss of reflexes in the affected arm
- Pain that worsens with neck movement or certain positions
- Muscle spasms in the neck and shoulder
- Difficulty with fine motor tasks like writing or buttoning clothes
- Symptoms may be worse at night or upon waking
Common Causes
Herniated Disc
Disc material pressing on nerve roots, most common in younger patients following injury or strain.
Bone Spurs
Arthritis-related bone growth that narrows the foramen where nerves exit the spine.
Spinal Stenosis
Age-related narrowing of nerve pathways that can compress multiple nerve roots.
Diagnosis
Physical Examination
Dr. Greenberg performs comprehensive neurological testing including reflex assessment, strength testing, and specialized maneuvers like Spurling's test to identify nerve compression.
Advanced Imaging
MRI is the gold standard for visualizing nerve compression. CT scans may be used to evaluate bone structures, while EMG studies can assess nerve function and confirm the diagnosis.
Fellowship-Trained Expertise
Dr. Marc Greenberg completed advanced fellowship training at Mayo Clinic, Johns Hopkins, and Brown University, bringing specialized expertise in diagnosing and treating complex cervical spine conditions.
Conservative Treatment
Medications
Anti-inflammatory medications, muscle relaxants, and neuropathic pain medications to reduce inflammation and pain.
Physical Therapy
Targeted exercises to improve neck mobility, strengthen supporting muscles, and reduce nerve irritation.
Injections
Cervical epidural steroid injections or selective nerve root blocks to reduce inflammation around compressed nerves.
Activity Modification
Ergonomic adjustments, posture training, and avoiding activities that worsen symptoms.
When to Consider Surgery
Surgical Indications
- Progressive weakness or muscle atrophy
- Severe pain unresponsive to 6-12 weeks of conservative treatment
- Significant functional impairment affecting work or daily activities
- Recurrent episodes with increasing severity
Why Greenberg Spine
Our approach emphasizes motion-preserving techniques and minimally invasive procedures when surgery is necessary. We utilize advanced robotics and endoscopic technology for enhanced precision and faster recovery.
- • Robotic-assisted precision surgery
- • Endoscopic minimally invasive techniques
- • Motion-preserving philosophy
- • Outpatient surgery focus
Related Procedures
Recovery Expectations
Conservative Treatment Recovery
Many patients experience significant improvement within 6-12 weeks of conservative treatment. Pain relief often occurs first, followed by gradual return of strength and sensation.
Surgical Recovery
Recovery varies by procedure type. Minimally invasive foraminotomy may allow return to desk work in 1-2 weeks, while fusion procedures typically require 6-12 weeks for initial healing. Full recovery and return to all activities may take 3-6 months.
Realistic Timeline
Frequently Asked Questions
What causes cervical radiculopathy?
Cervical radiculopathy is most commonly caused by herniated discs, bone spurs, or spinal stenosis that compress nerve roots in the neck. Age-related degeneration and injury can also contribute to nerve compression.
How is cervical radiculopathy diagnosed?
Diagnosis involves physical examination, neurological testing, and MRI imaging to identify nerve compression. EMG studies may be used to assess nerve function and confirm the specific nerves affected.
Can cervical radiculopathy be treated without surgery?
Yes, many cases respond well to conservative treatment including physical therapy, medications, cervical epidural injections, and activity modification. Surgery is considered when conservative treatment fails to provide adequate relief.
What surgical options are available?
Surgical options include cervical foraminotomy, ACDF (anterior cervical discectomy and fusion), and cervical disc replacement, depending on the specific cause and location of nerve compression. The choice depends on your individual anatomy and condition.
How long is recovery from cervical radiculopathy surgery?
Recovery varies by procedure. Minimally invasive foraminotomy may allow return to activities in 2-4 weeks, while fusion procedures typically require 6-12 weeks for initial healing. Full recovery and return to all activities may take 3-6 months.
Experiencing Cervical Radiculopathy? Schedule a consultation with Dr. Marc Greenberg.
Medical Disclaimer: This information is for educational purposes only and is not intended as medical advice. Individual outcomes may vary. Please consult with Dr. Greenberg or your healthcare provider for personalized medical advice regarding your specific condition.