Cervical radiculopathy

Arm pain, tingling or weakness caused by irritation of a nerve root in the neck.

Overview

Cervical radiculopathy occurs when a nerve root in the neck is compressed or irritated, often by a disc herniation or degenerative narrowing. Symptoms follow the nerve into the arm and may include pain, altered sensation and weakness.

Symptoms

  • Pain radiating from the neck into the arm
  • Pins and needles or numbness in the hand
  • Weakness in specific arm or hand muscles
  • Symptoms eased by resting the arm on the head

Causes

  • Cervical disc herniation
  • Degenerative foraminal narrowing
  • Inflammation around the nerve root

Treatment

  • Pain management and education early on
  • Nerve mobility and graded loading
  • Progressive strengthening of the neck and shoulder
  • Specialist referral for progressive weakness