Cervical Radiculopathy

Cervical radiculopathy refers to neck pain that radiates to the shoulder and arm caused by injury or compression of a spinal nerve root in the neck region. Cervical radiculopathy is also referred to as nerve root impingement, nerve entrapment, or pinched nerve. The condition is more common in adults and elderly individuals and rare among young individuals.

The cervical spine begins at the base of the skull and is made up of the first 7 vertebrae of the neck and comprises of 8 pairs of cervical nerves. The cervical nerve roots are large nerves that branch from the cervical region of the spinal cord and leave the spinal column to travel into the arms, shoulders, upper back and hands. The cervical nerves control upper body motor and sensory activities. Therefore, cervical radiculopathy can affect hand movements and coordination or cause numbness or decreased sensation. Cervical radiculopathy occurs when a nerve in the neck (cervical region) is irritated or pinched while it leaves the spinal canal.

Nerve root compression may occur at 3 locations:

  • Neuroforamen- natural passageways on either side of the vertebrae.
  • Right or left of the neck and upper extremity
  • Central canal (area surrounding the spinal cord)


Cervical radiculopathy can be caused by herniated disc, bony overgrowths (osteophytes), spinal stenosis, and degenerative disc disease.


The main symptom of cervical radiculopathy is neck pain that spreads into the arm and shoulders. A person with radiculopathy may experience lack of coordination especially in the hands, difficulty lifting things, headache, and muscle weakness and numbness or tingling in fingers or hands.


The diagnosis for cervical radiculopathy comprises of medical history, evaluation of the presenting signs and symptoms, physical examination, and neurological examination. Your doctor will test your strength of the muscles and sensation as well as reflexes. Your doctor will suggest certain diagnostic tests such as X-rays, CT or MRI scans, or myelography to provide better visualization of the anatomy of the intervertebral discs and spinal cord.  Other tests that may be performed are electromyography (EMG) to measure the electrical activity of the muscles and nerve conduction study (NCS) to evaluate the transmission of electrical signals as they move through a nerve.


The majority of patients with cervical radiculopathy can often be treated conservatively. The conservative treatment options include anti-inflammatory and pain medications, muscle relaxants, spinal injections, physical therapy, braces to support the spine, traction, and acupuncture. Your doctor may recommend combining two or more treatment modalities, in order to increase your chances of successful treatment.

Surgery is usually recommended for patients with persistent pain, spinal instability or neurological dysfunction. There are several surgical procedures for cervical radiculopathy, performed using minimally invasive techniques. Surgery involves removing parts of bone or soft tissue causing the compression. The aim of the surgery is to decompress nerves and relieve the pressure. Surgical techniques that may be used include:

  • A decompressive laminectomy: It is a surgical procedure in which a portion of the bone or lamina responsible for the compression is removed.
  • Laminoplasty: It is a surgical procedure to expand the size of the spinal canal and release the pressure over the spinal cord and nerve roots.
  • Discectomy: It is a surgical procedure for the removal of a herniated or ruptured disc from the affected region.
  • Foraminotomy: It is a surgical procedure for widening the neuroforamen, to relieve the pressure over the compressed nerves.
  • Instrumentation and fusion: Spinal Fusion is a surgical technique in which two or more vertebrae are joined with the help of bone grafts and/or instrumentation. Spinal instrumentation is a method of stabilizing the spine with the help of implants such as rods, plates, screws, and interbody devices.

Your surgeon will discuss surgical options and the associated risks and benefits as well as recommend the most appropriate procedure for you. Your doctor is a reliable resource to help you understand your condition better.

  • Ashford and St Peter’s Hospital


    Ashford and St Peter’s
    NHS Foundation Trust
    Guildford Road, Cherstey,
    Surrey, KY16 0PZ.
    Ph: 01932 722 730
  • The BMI Runnymede Hospital


    The BMI
    Runnymede Hospital
    Guildford Road,
    Ottershaw, CHERTSEY,
    KT16 0RQ.
    Ph: 01932 877800
  • Spire St Anthony’s Hospital


    Spire St Anthony’s
    801 London Road,
    SM3 9DW.
    Ph: 020 8337 6691
  • Nuffield Health Woking Hospital


    Nuffield Health
    Woking Hospital
    Shores Road,
    GU21 4BY.
    Ph: 01483 331257
  • Ramsay Health Ashtead Hospital


    Ramsay Health
    Ashtead Hospital
    The Warren,
    Ashtead, Surrey.
    KT21 2SB.
    Ph: 01372 221400