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 Trouble with Managed Care
When comparing different types of health care programs, one must always consider how "patient friendly" it is. A recent comparative survey found these discrepancies between Fee for Service and Managed Care:
| Complaint | Fee for Service | Managed Care |
| Not getting treatment you and your doctor thought was necessary | 13% | 22% |
| Unable to see specialist when needed one in past year | 15% | 21% |
| Unable to get needed diagnostic tests in past year | 17% | 24% |
| Care not appropriate or correct for situation | 5% | 12% |
| Not able to get appointment without waiting a long time | 7% | 17% |
| Not able to see doctor without waiting a long time at office | 18% | 26% |
| Doctor did not explain what he/she was doing | 6% | 12% |
| Doctor did not tell when and how to take medications at home | 4% | 10% |
Until managed care becomes more patient friendly, it won't be the health care provider of choice for most patients.
SOURCE: Survey conducted by The Robert Wood Johnson Foundation