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 Roy, DC, PhD
DR. Richard Roy practices in Ville LaSalle, Canada, and has been published in Canada's clinical guidelines on chiropractic practice, addressing neck pain.