Cervical radiculopathy: diagnostic aspects and non-surgical treatment. [free PhD thesis]
Degenerative cervical radiculopathy is a common cause of pain in the arm radiating from the neck with an annual incidence rate of 83.2 per 100.000. Symptoms and signs include sensory disturbances in arm and hand with dermatomal and motor weakness with myotomal distribution. Neck pain itself is usually present but is often minor compared to arm pain. The pain in the arm is caused by cervical root compression due to spondylosis or herniated discs, and is often severe, leading to function loss in the first weeks to months and causing a considerable impact on overall health status.
The prognosis of degenerative cervical radiculopathy is often good with spontaneous relief of symptoms and signs over time in the majority of patients. Consequently surgical intervention is only needed in a minority of patients with ongoing pain. However, the severe pain in the first weeks requires pain relieving treatment modalities.
In this [A&P: free full text]thesis the results of our studies on diagnostic value of neurological examination, magnetic resonance imaging (MRI) and needle electromyography (EMG) as well as that of the effect of non-surgical pain relieving treatment in recent onset cervical radiculopathy are described > from Barbara Kuijper (2011). All rights reserved to the author and the Universiteit van Amsterdam.
The free full text PhD. thesis (141 pages) can be downloaded here.