Cervical Radiculopathy - Research Proven Help With Chiropractic Care

What causes cervical radiculopathy?

Cervical radiculopathy, commonly referred to as a "pinched nerve" in the neck, occurs when a spinal nerve root in the cervical spine (neck region) becomes compressed or irritated.

This condition can lead to pain, weakness, numbness, or tingling radiating from the neck into the shoulder, arm, or hand - depending on which nerve root is affected.

While often uncomfortable and disruptive, cervical radiculopathy is a well-studied condition, and most patients experience significant improvement with conservative, non-surgical care.

Signs and Symptoms...

Cervical radiculopathy presents differently depending on the spinal level of the nerve root involved, but hallmark symptoms include:

• Neck pain often accompanied by stiffness

• Radiating arm pain following a nerve distribution pattern (radicular pain)

• Numbness or tingling in the arm, hand, or fingers

• Muscle weakness in the upper limb(s)

• Decreased reflexes in the arm

Patients often describe pain that worsens with neck extension (looking up), rotation (turning side to side), or prolonged sitting, while relief may occur when the arm is placed overhead (the "shoulder abduction relief sign") [Kuijper et al., 2011].

Evidence-Based Treatments

Fortunately, research shows that the majority of patients with cervical radiculopathy improve without the need for surgery. Effective conservative treatments include but are not limited to the following:

• Chiropractic care and spinal manipulation: studies suggest spinal manipulation can reduce pain and improve function in cervical radiculopathy when applied safely and selectively in the absence of red flags [Leininger et al., 2011]

• Therapeutic exercise: strengthening deep neck flexors and scapular stabilizers helps restore spinal mobility and reduce nerve root irritation

• Cervical traction: mechanical or manual traction may provide relief by temporarily enlarging the nerve root canal [Young et al., 2009]

• Postural training and ergonomics: correcting workstation setup and improving posture decreases stress on the cervical spine.

• Medication and adjunct therapies: NSAIDs, soft collars (short-term), and physical therapy modalities may be helpful.

Surgical options such as anterior cervical discectomy and fusion (ACDF) or artificial disc replacement are typically reserved for patients with persistent, severe pain or progressive neurological deficits after months of conservative management [Rhee et al., 2007].

Early Care - It's Important!

Research consistently shows that most patients recover within 4-6 months of symptom onset, and long term outcomes are often favorable with conservative care [Wong et al., 2014].

Early evaluation by a healthcare provider is important to confirm the diagnosis, rule out red flags, and develop a tailored treatment plan to your specific symptoms and goals.

So.. What Do I Do Now?

Cervical radiculopathy can be a painful and limiting condition, but with accurate diagnosis and evidence-based management, most patients achieve significant relief and avoid invasive procedures.

Conservative care - including chiropractic treatment, exercise, and traction - is supported by research as a first-line approach. Patients experiencing persistent or worsening symptoms should seek timely evaluation to ensure the best outcomes.

Disclaimer: The information in this article is for educational purposes only and is not a substitute for personalized medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional for questions about your health or before starting any new treatment. Results vary by individual. In emergencies, call 911. Texas readers: ensure chiropractic services are provided by a chiropractor licensed by the Texas Board of Chiropractic Examiners.