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.
Adjunctive Therapies to the Adjustment
European Antibiotic Use on the Increase
A recent study indicates that antibiotic use has severely increased in several European countries, despite the average cost of the antibiotics more than doubling. The most rapid growth of antibiotic use was for "recently introduced drugs or drugs that are still being heavily promoted by their manufacturers."
horizontal bar graph with country flags
| Increase in Antibiotic Use from 1980 to | 1991 |
England - 45.8%
France - 65%
Germany (West) - 78%
--------------------------------------- Davey PG, Bax RP, Newey J, Reeves D, Rutherford D, Slack R, Warren RE, Watt B, Wilson J. Growth in the use of antibiotics in the community of England and Scotland in 1980-93. BMJ 1996;312:613.DC