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.
Robert J Troell, MD, FACS
Dr. Robert J Troell, MD, FACS, is a quadruple board certified physician, Stanford trained in both Otolarngology/Head and Neck Surgery and Sleep Medicine. He was a clinical professor for seven years at the first sleep clinic in the United States, the Stanford Sleep Disorders Center. Additionally, he was the first surgeon board certified in Sleep Medicine in the U.S. His first medical and surgical practice was with colleagues Robert Riley, Nelson Powell and Kasey Li, considered the premier group in the world at the time for upper airway reconstructive surgery. Dr. Troell currently practices in Las Vegas and Laguna Beach, Calif.