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.
Garreth MacDonald, BSc, DC, CCST
Dr. Garreth MacDonald practices in Eugene, Ore., with an emphasis on conservative management of patients with whiplash, spinal trauma and other injuries attributable to motor vehicle accidents.