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.
John K. Hyland, DC, MPH, DACBR, DABCO, CSCS
Dr. John Hyland is an expert in the active rehabilitation of chiropractic patients. He was the developer and director of four chiropractic rehabilitation practices for more than eight years, and now consults, advises and trains DCs in the concepts and procedures of spinal rehabilitation.