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.
IQ (Interesting Quote)
"Physicians predicted a 'great improvement' of quality of life after surgery for 79% and 'moderate' improvement for 20% ... despite clear average improvement, surgeons tended to give overly optimistic predictions that were not correlated with patient outcome at 1-year follow-up."
- Results from a recent study comparing physician predictions with outcomes for patients undergoing surgery for low back pain and sciatica. According to the study, 56% of patients whose surgeons predicted "a great deal of improvement" reported no significant improvement in their health one year after surgery.
SOURCE: Graz B, Wietlisbach V, et al. Prognosis or "curabo effect?" Physician prediction and patient outcome of surgery for low back pain and sciatica. Spine, June 15, 2005;30(12):1448-52.