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.
The Dangers of Drugging the Elderly
According to a survey conducted for the National Council on Aging, 18% of Americans over age 60 (7.5 million people) take medication for chronic pain. Of those 7.5 million seniors, 26% (1.95 million) experience side effects, half of which are severe:
| Side Effects | Percent of Seniors Affected |
| Drowsiness | 20% |
| Dizziness | 18% |
| Gastrointestinal Disorders | 17% |
| Nausea/Vomiting/Diarrhea | 13% |
| Constipation | 12% |
| Hospitalization | 10% |
Forty-one percent of the seniors who suffer from these side effects (800,000) take another drug to "manage" the side effects. Of greater concern is that 58% of the seniors who take pain medication also take other drugs for other ailments. And yet 48% of the seniors say that their doctors don't tell them about the possible harmful interaction between pain drugs and other medications they take.
----------------- SOURCE: The Study of Pain and Older Americans. Louis Harris and Associates survey, 1997.