Neck pain is widespread and causes significant pain and disability. Workers with a history of neck pain account for up to 40% of work absenteeism. In the setting of cervical radiculopathy, because the nerve root of a spinal nerve is compressed or otherwise impaired the pain and symptomatology can spread far from the neck and radiates to the arm, neck, chest, upper back, and/or shoulders. Often muscle weakness and impaired deep tendon reflexes are noted along the course of the spinal nerve. This activity reviews the etiology, presentation, evaluation, and management of cervical spine radiculopathy and reviews the role of the interprofessional team in evaluating, diagnosing, and managing the condition. Treatment of cervical radiculopathy should be approached in a stepwise fashion. Also, while surgery can provide significant relief, there is little evidence that surgery provides a clear advantage over non-surgical treatment in an acute setting. Over 85% of acute cervical radiculopathy resolves without any specific treatments within 8-12 weeks. Over 85% of acute cervical radiculopathy resolves without any specific treatments within 8-12 weeks. However, in order to facilitate reduced inflammation of the nerve root(s) and improve radiculopathy, it is important to implement non-surgical treatments including oral anti-inflammatory drugs, physical therapy, and translaminar epidural steroid injections.
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