Cervical Spondylotic Radiculopathy

Cervical spondylotic radiculopathy (CSR) is compression/irritation of cervical nerve root by disc herniation/osteophyte. Clinical: neck/arm pain in dermatomal distribution, numbness, weakness, positive Spurling. Diagnosis: cervical X-ray/MRI, EMG/NCS. Treatment: conservative: NSAIDs, gabapentin/pregabalin, muscle relaxants, soft collar, cervical traction, PT (isometric strengthening, posture), activity modification; epidural/nerve-root steroid injections; surgical: anterior cervical discectomy and fusion (ACDF), posterior foraminotomy/discectomy if refractory, progressive weakness, or failed conservative; follow-up orthopedics/neurosurgery/neurology/PT.

Common Symptoms

Dermatomal arm pain; numbness; weakness; positive Spurling

Causes and Pathogenesis

Disc/osteophyte compression of cervical nerve root.

Treatment

NSAIDs/gabapentin; PT/traction/collar; ACDF/foraminotomy if refractory

Preventive Measures

Neck posture; avoid heavy lifting; early treatment.

Department to Visit

It is recommended to visit the Orthopedics/Neurosurgery/Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.