Cervical Radiculopathy

被引：104

作者：

Corey, Deanna Lynn ^{[1
]}

Comeau, Douglas ^{[2
,3
,4
]}

机构：

[1] Boston Univ, Boston Med Ctr, Dept Family Med, Boston, MA 02118 USA

[2] Boston Univ, Boston Med Ctr, Ryan Ctr Sports Med, Boston, MA 02215 USA

[3] Boston Univ, Sch Med, Boston, MA 02118 USA

[4] Boston Coll, Dept Sports Med, Chestnut Hill, MA 02467 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2014年 / 98卷 / 04期

关键词：

Cervical radiculopathy; Neck pain; Shoulder pain; Spur ling test; TRANSFORAMINAL STEROID INJECTIONS; SPURLING TEST; DIAGNOSIS; NECK; PAIN; EPIDEMIOLOGY; AGREEMENT;

D O I：

10.1016/j.mcna.2014.04.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cervical radiculopathy is the result of irritation and/or compression of nerve root as it exits the cervical spine. Pain is a common presenting symptom and may be accompanied by motor or sensory deficits in areas innervated by the affected nerve root. Diagnosis is suggested by history and corresponding physical examination findings. Confirmation is achieved with MRI. A multimodal approach to treatment helps patients improve. Medications may be used to alleviate symptoms and manage pain. Physical therapy and manipulation may improve neck discomfort. Guided corticosteroid injections and selected nerve blocks may help control nerve root pain. Most patients improve with a conservative, nonoperative treatment course.

引用

页码：791 / +

页数：10

共 36 条

[1] Cervical radiculopathy: Pathophysiology, presentation, and clinical evaluation [J].

Abbed, Khalid M. ;

Coumans, Jean-Valery C. E. .

NEUROSURGERY, 2007, 60 (01) :28-34

[2] Transforaminal steroid injections for the treatment of cervical radiculopathy:: a prospective and randomised study [J].

Anderberg, Leif ;

Annertz, Marten ;

Persson, Liselott ;

Brandt, Lennart ;

Saveland, Hans .

EUROPEAN SPINE JOURNAL, 2007, 16 (03) :321-328

[3] What is the Best Way to Apply the Spurling Test for Cervical Radiculopathy? [J].

Anekstein, Yoram ;

Blecher, Ronen ;

Smorgick, Yossi ;

Mirovsky, Yigal .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2012, 470 (09) :2566-2572

[4] CONCORDANCE OF UPPER LIMB NEURODYNAMIC TESTS WITH MEDICAL EXAMINATION AND MAGNETIC RESONANCE IMAGING IN PATIENTS WITH CERVICAL RADICULOPATHY: A DIAGNOSTIC COHORT STUDY [J].

Apelby-Albrecht, Martina ;

Andersson, Linda ;

Kleiva, Ingrid W. ;

Kvale, Kristian ;

Skillgate, Eva ;

Josephson, Anna .

JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2013, 36 (09) :626-632

[5] An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders [J].

Bono, Christopher M. ;

Ghiselli, Gary ;

Gilbert, Thomas J. ;

Kreiner, D. Scott ;

Reitman, Charles ;

Summers, Jeffrey T. ;

Baisden, Jamie L. ;

Easa, John ;

Fernand, Robert ;

Lamer, Tim ;

Matz, Paul G. ;

Mazanec, Daniel J. ;

Resnick, Daniel K. ;

Shaffer, William O. ;

Sharma, Anil K. ;

Timmons, Reuben B. ;

Toton, John F. .

SPINE JOURNAL, 2011, 11 (01) :64-72

[6] Diagnostic imaging practice guidelines for musculoskeletal complaints in adults -: An evidence-based approach -: Part 3:: Spinal disorders [J].

Bussieres, Andre E. ;

Taylor, John A. M. ;

Peterson, Cynthia .

JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2008, 31 (01) :33-88

[7] Cervical radiculopathy [J].

Carette, S ;

Fehlings, MG .

NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (04) :392-399

[8] LONG-TERM RESULTS OF CERVICAL EPIDURAL STEROID INJECTIONS [J].

CICALA, RS ;

THONI, K ;

ANGEL, JJ .

CLINICAL JOURNAL OF PAIN, 1989, 5 (02) :143-145

[9] Efficacy and safety of opioid agonists in the treatment of neuropathic pain of nonmalignant origin - Systematic review and meta-analysis of randomized controlled trials [J].

Eisenberg, E ;

McNicol, ED ;

Carr, DB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (24) :3043-3052

[10]

Eubanks JD, 2010, AM FAM PHYSICIAN, V81, P33

← 1 2 3 4 →