{"id":14349,"date":"2023-02-02T14:22:39","date_gmt":"2023-02-02T13:22:39","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=condition&p=14349"},"modified":"2024-05-20T19:37:49","modified_gmt":"2024-05-20T17:37:49","slug":"cervical-radiculopathy","status":"publish","type":"condition","link":"https:\/\/www.physiotutors.com\/conditions\/cervical-radiculopathy\/","title":{"rendered":"Cervical Radiculopathy"},"featured_media":14350,"template":"","class_list":["post-14349","condition","type-condition","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":14350,"background_image_alt_text":"Cervical Radiculopathy"},"heading":"Cervical Radiculopathy | Diagnosis & Treatment for Physiotherapists","subheading":"Cervical","content_editor":"","button_type":"url","button_label":"","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"https:\/\/study.physiotutors.com\/course\/orthopedic-physiotherapy-of-the-spine\/","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Introduction & Epidemiology","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Clinical Picture & Examination","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Treatment","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Spine Online Course","button_internal_link":null,"button_anchor":"section-number-6","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Course Reviews","button_internal_link":null,"button_anchor":"section-number-7","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":22104,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"acf_fc_layout":"content-with-sidebar","content_editor":"

Cervical Radiculopathy | Diagnosis & Treatment for Physios<\/h2>\r\n
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Introduction & Epidemiology<\/strong><\/h3>\r\n\"Cervical\r\nCervical radicular syndrome is the umbrella term encompassing cervical radicular pain and\/or cervical radiculopathy. Even though \"radicular pain\" and \"radiculopathy\" are synonymously used in the literature, they are not the same. Radicular pain is defined as \"pain evoked by ectopic discharges originating from a dorsal root or its ganglion\". Disc herniation (hernia nucleus pulposus, HNP), the most common cause, and inflammation of the affected nerve seem to be the critical pathophysiological process. Radiculopathy is yet another, distinct entity. It is a neurological state in which conduction is blocked along a spinal nerve or its roots (Bogduk et al. 2009<\/a>).\r\nThis leads to objective signs of loss of neurologic function such as sensory loss (hypoesthesia or anesthesia), motor loss (paresis or atrophy), or impaired reflexes (hyporeflexia).\r\n\r\nIn the cervical spine, true disc prolapse and herniation of the nucleus pulposus are uncommon. The neural foramen is bordered ventrally by the uncovertebral joint and dorsally by the superior articular process of the caudal vertebrae. Compressive radiculopathies occur as a result of the mechanical distortion of the nerve root either by hypertrophied facet joints or uncovertebral joints, disc protrusion, spondylotic spurring of the vertebral body, or a combination of these factors (Abbed et al. 2007<\/a>). HNP accounts for about 20%-25% of cervical radiculopathies and degenerative disc disease (DDD) accounts for about 70%-75% (Roth et al. 2009<\/a>).\r\nA review from Van Zundert et al. (2010)<\/a> reports an annual incidence of 82,3 new cases of cervical radicular syndrome in 100.000 people, with an adjusted incidence of 107 for males and 64 for females. The study also reports that the most commonly affected nerve root is C7 in 45-60% of all cases, followed by C6 (20-25%) and C5 and C8 with both 10%.\r\n\r\n<\/div>"},{"acf_fc_layout":"content-with-sidebar","content_editor":"

Clinical Presentation & Examination<\/strong><\/h3>\r\nSigns & Symptoms<\/strong><\/em>\r\n\r\nThe following signs & symptoms can be indicative of neck pain grade III (Bono et al. 2011<\/a>, Kuijper et al. 2008<\/a>):\r\n