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.
Perry Nickelston, DC, FMS, SFMA
Dr. Perry Nickelston, a 1997 graduate of Palmer College of Chiropractic, practices in Ramsey, N.J., serving as clinical director of the Pain Laser Center and focusing on performance enhancement, corrective exercise and metabolic fitness nutrition. He has been a regular contributor to DC for several years and writes for various other industry trade publications dedicated to health and fitness.
Dr. Nickelston has been involved in the fitness industry for more than 20 years and is currently in the process of publishing several books on health, fitness and laser therapy.