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.
Jatinder Benepal, DC, PGDip
Dr. Jatinder Benepal graduated from the Anglo-European College of Chiropractic (AECC) in 1986 and received her postgraduate diploma in chiropractic orthopaedics and rehabilitation in 1992. She is the proprietor of ISIS Chiropractic Clinics, a group of three clinics in Buckinghamshire and Northamptonshire. She has previously held a number of positions in the British Chiropractic Association (BCA) including secretary, PR committee chairperson and communications director; and served on the committee that developed the 1994 Chiropractors' Act with the U.K. government. Following her election in 2006, Dr. Benepal is currently director of international affairs for the Royal College of Chiropractors and also chairs the marketing committee.