While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
I.Q. -- Interesting Quote
Surgical Zip Code Risk
Who says that medical care is based on what the patient needs? According to a front page article in The Wall Street Journal:1
"People with weak hearts, sore backs and breast cancer may think their symptoms alone decide their care. Not so. A patient's odds of getting a major, invasive procedure can be swayed by something else: his or her zip code."The author cites a study by Dartmouth Medical School and the American Hospital Association which revealed enormous differences in the application of invasive surgical procedures. The article suggests that this may have a lot to do with the number and aggressiveness of the surgeons in a patient's area.
1. "Maximum Medicine," The Wall Street Journal, July 16, 1996.