Failure of Nonoperative Management

  • Hamadi Murphy
  • Scott C. Wagner
  • Alex VaccaroEmail author
  • Stephen Silva


Cervical myelopathy and radiculopathy can be debilitating conditions that result in significant functional impairments. As one of the more common reasons that patients seek evaluation from spinal specialists, these degenerative disorders of the cervical spine place a substantial functional, psychosocial, and economic burden upon patients. The treating physician’s goal should be the rapid diagnosis and treatment of this condition in order to help patients return to their normal state of health. Conservative, nonoperative treatments should be initiated on all patients with new-onset radiculopathy, unless there are signs of significant motor deficit or myelopathy. The objectives of these treatment strategies are pain relief, improvements in function, and prevention of recurrence.


Nonoperative management Nonsurgical treatment Pharmacological treatments Opioid narcotics Cervical steroid injections Cervical epidural injections Physical therapy 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hamadi Murphy
    • 1
  • Scott C. Wagner
    • 1
  • Alex Vaccaro
    • 1
    Email author
  • Stephen Silva
    • 1
  1. 1.Department of OrthopaedicsRothman Institute at Thomas Jefferson University HospitalPhiladelphiaUSA

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