Cervical Radiculopathy: Pinched Nerve in the Neck
Cervical radiculopathy occurs when a nerve root in the neck is compressed by a disc herniation or bone spur. It causes pain that follows a predictable path down the arm, often with numbness in particular fingers and weakness in particular muscles. The pattern tells us which level is involved.
Most cases settle with conservative treatment over 6–12 weeks. Surgery is considered for persistent, disabling pain or progressive weakness.
Symptoms
- Sharp or burning pain from the neck into the arm
- Numbness or tingling in the thumb, middle finger or little finger
- Weakness lifting the arm, extending the elbow or gripping
- Relief when resting the hand on top of the head
How it is diagnosed
Examination, cervical MRI, sometimes EMG or CT.
Treatment options
Without surgery
Physical therapy, medication, injections.
Surgical options Dr. Daggubati offers
Common questions
How is cervical radiculopathy different from carpal tunnel?
Both cause numb, tingling fingers. Radiculopathy usually comes with neck pain, follows a whole nerve-root pattern (for example the thumb and index finger for C6), and is worse turning or extending the neck; carpal tunnel affects the thumb through ring finger, is worse at night and with gripping, and spares the neck. An examination usually sorts them out, and EMG settles any doubt.
Will I need surgery?
Most people do not. About three in four improve within three months with therapy, medication and time. Surgery is offered when pain remains disabling beyond that, or when weakness is progressing.
What is the recovery after surgery?
Arm pain is usually much better immediately. Disc replacement and single-level ACDF are same-day or one-night procedures with a return to desk work in one to two weeks.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.