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.
Chiropractic Chalkboard
There must be a doctor who is a specialist of the motor system. It doesn't yet exist, and particularly it must be a specialist who understands motor dysfunction and not just pathology. Established medicine does not go into understanding dysfunction. And it's getting worse because they (medicine) rely more and more on imaging techniques, which practically all show change in structure.
There is a need for a profession that will develop a focus on the motor system as a whole. If the trend continues, it is quite possible that the chiropractors will do it. It will take another two decades, but the trend is there."
-- Karel Lewit, MD, pioneer in medical manual therapy, professor at Charles University and consultant to the Central Railway Health Institute in Prague, Czechoslovakia.
Source: Vertebrovisceral relations: a medical perspective. California Chiropractic Association Journal, March, 1997.