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Weak
Body numbness
Tingling
Difficulty rising from the sitting position
Loss of sensation
Leak urine
Numbness in hands
Not seeing your symptoms? No worries!
Injury to the spinal cord at the neck level, often caused by falls or accidents.
Your doctor may ask these questions to check for this disease:
Emergency medical care is required. Early stage treatment focuses on immobilizing the spine to prevent further damage using a brace and surgery. Breathing difficulties and low blood pressure must be addressed. Later stage treatment aims to recover as much muscle power as possible through physical therapy at a rehabilitation facility.
Reviewed By:
Ziev Moses, MD (Neurosurgery)
Dr. Moses is a board-certified neurosurgeon and assistant professor of neurosurgery at Harvard Medical School.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Feb 13, 2025
Following the Medical Content Editorial Policy
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Q.
Cervical Radiculopathy? Why Your Neck Nerve Is Pinched & Medical Next Steps
A.
Cervical radiculopathy is a pinched nerve in the neck that can cause neck-to-shoulder, arm, or hand pain, tingling, numbness, or weakness, most often from a herniated disc or age-related wear and tear. Most cases improve without surgery with early steps like activity changes, physical therapy, and anti-inflammatories, while doctors use exam and sometimes MRI to guide care and consider injections or surgery only if symptoms persist or there is worsening weakness. There are several factors and red flags to consider, including trouble walking, progressive weakness, or bowel or bladder changes that need urgent care; see complete details below to choose the right next steps.
References:
* McCormick Z, Tuchman A, Alvi MA, Hsu WK. Cervical Radiculopathy: An Update on the Natural History, Evaluation, and Conservative Management. J Am Acad Orthop Surg. 2023 Mar 15;31(6):e306-e316. doi: 10.5435/JAAOS-D-22-00508. PMID: 36724395.
* Kreiner DS, Hwang SW, Easa H, Mazanec DJ, Patel AA, Shaffer WO, Toton JF, Voorhies RM, Baisden JL, Hornung MG, Rechterman DR, Ghiselli G, Summers JT, Tuchman A, Wahezi SE, Goldberg MJ, Rosolowski KJ. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J. 2014 Sep 1;14(9):1721-34. doi: 10.1016/j.spinee.2014.05.003. PMID: 24869157.
* Takebayashi T, Suzuki Y, Katsumi K, Ito T, Kamada T, Takasu M, Yamashita T. Current Concepts in the Pathophysiology of Cervical Radiculopathy. Spine (Phila Pa 1976). 2016 Jun 1;41 Suppl 12:S172-S177. doi: 10.1097/BRS.0000000000001555. PMID: 27159795.
* Carlesso LC, Macdermid JC, Gross AR, D'Sylva J, Goldsmith CH, Santaguida PL. Treatment for atraumatic cervical radiculopathy: a systematic review. Chiropr Man Therap. 2014 Mar 24;22(1):19. doi: 10.1186/2045-709X-22-19. PMID: 24655458; PMCID: PMC3977717.
* Oh J, Shin KY, Choi K, Park JH, Yang HS, Chung HJ. Diagnostic Accuracy of Clinical Tests for Cervical Radiculopathy: A Systematic Review. J Korean Med Sci. 2021 Mar 15;36(10):e71. doi: 10.3346/jkms.2021.36.e71. PMID: 33709664; PMCID: PMC7959048.
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Which is the best Symptom Checker?
Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Bakhsheshian, J., Mehta, V. A., & Liu, J. C. (2017). Current diagnosis and management of cervical spondylotic myelopathy. Global Spine Journal.
https://journals.sagepub.com/doi/abs/10.1177/2192568217699208Nouri, A., Tetreault, L., Singh, A., Karadimas, S., & others. (2015). Degenerative cervical myelopathy: epidemiology, genetics, and pathogenesis. Spine.
https://journals.lww.com/spinejournal/fulltext/2015/06150/Degenerative_Cervical_Myelopathy__Epidemiology,.8.aspxRhee, J. M., Shamji, M. F., Erwin, W. M., Bransford, R., & others. (2013). Nonoperative management of cervical myelopathy: a systematic review. Spine.
https://journals.lww.com/spinejournal/fulltext/2013/10151/nonoperative_management_of_cervical_myelopathy__a.6.aspx