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.
Joseph DiDuro, DC, MS, DABCN
Dr. Joseph DiDuro, a 1986 graduate of Palmer College of Chiropractic, is in private practice in Casa Grande, Ariz. He completed postgraduate work (master's degree in clinical research) at the Palmer Center for Chiropractic Research in 2006 and has participated in numerous research projects. Contact Dr. DiDuro with questions and comments regarding this article at drjoe.az@gmail.com.