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.
Michael Haneline, DC, MPH
Dr. Michael Haneline is dean of undergraduate and graduate studies at the University of Western States and chair of the CHC section of the APHA. Previously, he was the head of the chiropractic program at the International Medical University and before that, a professor in the department of research at Palmer West, where he also taught courses in evidence-based practice.