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.
Scott Darragh, DC, MPH, MT (ASCP)
Dr. Scott Darragh is the vice president of public information and education for the Massachusetts Chiropractic Society and a member of the Chiropractic Health Care section of the APHA. He practices in Melrose, Mass