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 J Koch
Michael J. Koch was in private practice from 1978-2006 and now specializes in fall prevention and vestibular / balance correction books, diagnosis, treatment algorithms, marketing and coaching / consulting. Reach him at: drmjkochdc@aol.com.