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.
Jennifer Hess, DC, MPH, PhD
Dr. Jennifer Hess is a research associate and ergonomist at the Labor Education and Research Center (LERC) of the University of Oregon. Prior to her current position, Dr. Hess maintained a full-time chiropractic practice emphasizing ergonomics, injury prevention and musculoskeletal rehabilitation.