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.
Keith Charlton, DC, MPhil, MPainMed
Dr. Keith Charlton, a 1975 graduate of National College of Chiropractic, practices in Brisbane, Queensland (Australia). Over the years, he has held membership in various chiropractic associations and been active on a political level, including serving as president of the Queensland Branch of the Chiropractors' Association of Australia, during which time he helped secure legislative recognition for the profession in Queensland. He is a member of the editorial boards of Chiropractic & Osteopathy and the Journal of Chiropractic Humanities, and previously served on the boards of several other peer-reviewed journals including JMPT and the Chiropractic Journal of Australia.