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.
David Parish, DC, MS, CSCS, DACBSP
Dr. David Parish is the director of human performance at Logan University. He has extensive experience in chiropractic sports injury care and rehabilitation, including work as a team physician with professional, college and high-school sports teams. His experience also includes serving as a high-performance coach for the USA Para Powerlifting Team; and Team USA chiropractic physician for the ParaPan American Games, 2012 Paralympics Games and most recently, the 2016 Paralympic Games.