Cervical Radiculopathy and Myelopathy

Abstract

Cervical radiculopathy is a symptomatic root dysfunction that is most often self-limiting. Familiarity with cervical spine anatomy and the clinical presentation of root dysfunction help to make the diagnosis. Activity modification, anti-inflammatory medications, and physical therapy are often adequate in managing symptoms. Surgical consultation is warranted for persistent or debilitating symptoms and in the setting of motor weakness. Cervical myelopathy is the result of spinal cord dysfunction, most commonly due to compressive, degenerative pathology. A detailed history, physical examination, and appropriate neuroradiographic imaging are used to make the diagnosis. An understanding of its stepwise, progressive natural history, and the offending structural abnormality, is key to helping patients make informed care decisions.