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.
Gregory Cofano, DC, RN, DICBN
Dr. Gregory Cofano is a board-certified chiropractic neurologist and a current family nurse practitioner candidate, specializing in primary care. He practices in Bellevue, Wash., and possessses a unique blend of clinical and academic experience.