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.
Richard L. Cole, DC, DACNB, DAAPM, FIACN
Dr. Richard Cole graduated from Palmer College of Chiropractic in 1977 and has practiced in Shelby County, Tenn., since 1978. Active in chiropractic licensing and examination, he has served as president of the Federation of Chiropractic Licensing Boards (2003-2005), board member of the National Board of Chiropractic Examiners (2001-2005, 2007-2011), and president of the Tennessee Board of Chiropractic Examiners (1997-98), in addition to serving in various other capacities within those organizations. He also served on the Council on Chiropractic Education, Standards Development Task Force, Ethics Subcommittee (2006-2011). Currently a clinical neurologist in private practice in Memphis, Tenn., he is the president of the International College of Chiropractic Neurologists and a board member of the Tennessee Chiropractic Association.