FAQ - Radiculopathy
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I had an EMG done, and I wanted to know what radiculopathy with denervation is?

My nerologist said he found in the F-1 of my back, radiculopathy with denervation. What is the definition, or what does it mean. He said there is nothing he can do except Physical therapy pain meds, and muscle relaxers.

What this basically means is that nerve function is impaired and the nerve has started to "die". The term denervation is usually reserved for cases where there is neruomuscular disease such as polio, neuropathy, etc. It can also occur after a traumatic injury. It's hard to comment further without knowing more about your medical history.  (+ info)

Are there physical activities one would be restricted from doing when diagnosed with cervical radiculopathy?

I was diagnosed with cervical radiculopathy but I didn't get from my Dr if there are certain things I should not do. Because with my job I lift 25 to 30 lbs over my head frequently. I would think have a herniated disc in my neck that would not be a wise thing to do. Anyone know?

Don't mess with this go to your doctor for a proper diagnosis. You are correct In your assumptions with regards to your limitations should this prove to be the case.  (+ info)

What medications can I take to treat pain radiculopathy in both arms from cervical stenosis?

I'd like to have some suggestions when I see the neurosurgeon next week. I'm already on Percocet and Valium, but they really do not seem to affect the pain in the arms and hands.

I am positive that the Neurosurgeon is aware of what drugs to give you, so wait until you see them. Best of Luck  (+ info)

Is it possible to have cervical radiculopathy from herniated discs and not have neck pain?

I have a torn rotor cuff and carpal tunnel, but the overall pain was never this bad. And now my hand and index finger is tingling, in fact the index finger has gone numb and burns badly. My PCP is offering Chiropractic or Acupuncture as treatment options. BTW, physical therapy was tried repeatedly and only aggravated the conditions.

It would be unusual for cervical radiculopathy to not have neck pain. Pressure on a "pinched nerve" will push the nerve against bone and the sensory fibers will protest. There will also, usually, be neck muscle spasms when the pain hits. You haven't described having any of these symptoms and so I doubt that the pain is originating in the neck.

But there is not enough information to actually try to pinpoint the source of your pain. What I can say, however, is that the numbness in your finger is a worrisome sign - especially if it is persistent. It suggests that permanent nerve damage may be occurring. What I would suggest, since things are not getting better, is to get a referral to a Neurologist. A Neurologist can do nerve conduction studies to find out where the actual site of the nerve injury is.

It may be at the wrist, or Carpal Tunnel. But you say that you tore your rotator cuff and I'm actually more worried that you may also have torn the nerve during that injury. The torn nerve is known as a Brachial Plexus injury and the torn nerve can be anywhere from the shoulder to the neck and trapezius area.  (+ info)

Does severe spinal stenosis in C5 with disk bulge and radiculopathy in arms go away, and if so what treatment?

Also, how common is it, and is this serious?

That severe does not usually go away on it's own, and in fact if not treated could eventually lead to paralysis, or cause your upper extremities to become very weak and useless. If you were to get rear ended by a car, or just a simple fall, could cause major problems.

There are surgical options, and they have improved the technology greatly over the last 5-10 years. They can even do disc replacement surgery in the neck now. The stenosis depends on if it is a bony stenosis, or if it is from the disc. Both can be corrected surgically.

Here's a link that can hopefully help you  (+ info)

What are some of the symptoms of cervical radiculopathy?

Cervical radiculopathy causes symptoms that radiate away from the neck. Although, the problem is in the neck, the symptoms will be felt wherever the nerve travels-shoulder, arm, or hand. By locating the symptoms, your doctor can usually tell which nerve in the neck is having problems. Symptoms generally include pain, numbness, and weakness. The reflexes in the upper arm can also be affected.

Neck pain and headaches near the back of the head are common with cervical radiculopathy. The back of the head is called the occiput, which is why headaches in this area are called occipital headaches.  (+ info)

What is C5/C6 Prolapse with canal stenosis and bilateral radiculopathy?

Nerve root disorder( radiculopathies) —Segmental motor or sensory signs associated with a root disorder. eg, pain or paresthesias in a dermatomal distribution, weakness of muscles innervated by the root. -are precipitated by chronic pressure on a root in or adjacent to the spinal column.

Spinal stenosis is a narrowing of the cervical (neck) spinal canal, which causes compression of the nerve roots.

Radiculopathies tend to cause characteristic radicular syndromes of pain and segmental neurologic deficits based on the cord level of the affected root- in this case C5/C6.

Pain in the trapezius ridge and tip of the shoulder, often radiating to the thumb, with paresthesias and sensory impairment in the same areas ;Weakness of biceps and decreased biceps brachii and brachioradialis reflexes

When the C6 root is involved pain will be complained of at the shoulder tip ,outer border of the upper arm & dorsum of the forearm.There will be sensory loss along the lateral border of upper arm & forearm,weakness of the biceps, diminished diminished biceps & supinator jerks.

Herniated nucleus pulposus, or slipped disk, is a condition in which part or all of the soft, gelatinous central portion of an intervertebral disk (the nucleus pulposus) is forced through a weakened part of the disk. This results in back pain and leg pain (lumbar herniation) or neck pain and arm pain (cervical herniation) due to nerve root irritation.
Absence of a refex in the bicep usually means a problem with the nerve supplying the biceps muscle (the musculocutaneous nerve) This muscle is predominantly supplied by the C5 root coming out of the neck below the C5 vertebral body

Cervical prolapsed disc does not involve multiple nerve roots but it affects a single nerve root which emerges above the corresponding vertebrae ie C6 nerve root is involved in case of C5 /C6 protrusion .

When the C6 root is involved pain will be complained of at the shoulder tip ,outer border of the upper arm & dorsum of the forearm.There will be sensory loss along the lateral border of upper arm & forearm,weakness of the biceps ,diminished biceps & supinator jerks

A disc at this level, if herniated,or prolapsed can cause compression of the root causing pain in the shoulder,upper arm, or upper back, along with potential weakness of the biceps in elevating the arm .

Whether surgery is needed or not, is a difficult question, but if you are beginning to lose a reflex (and therafter muscle trength) then it is more serious, and may require surgery to prevent further damage

Hence, findings:in simple language: Disc herniation and prolapse at the C5/C6 with narrowing of the spinal canal and osseous degenerative changes (radiculopathy) can result in severe neck pain and spasms, pain radiating down the left arm and upper back, and associated numbness in of the fingers. .  (+ info)

Is lumbar radiculopathy for lifetime or it can be treated permanently?

I have a lumbar radiculopathy and I'm wondering if this pain is for lifetime or if it is treated the pain will go away permanently?

if its treated the pain should go away. it also depends on how severe ure radiculopathy is and if it progresses in the future  (+ info)

What is BRACHIAL radiculopathy?? Cervical Spine MRI report, ddd, herniated disks, etc.?

I posted this question late last nite, but maybe I'd get an answer from the morning posters...lol.

I have a couple of herniated disks, bulging disks, ddd (disk disease), djd (joint disease), c6 nerve root damage.
These all affect c4-5, c5-6, & c6-7.
On the report it also states: "BRACHIAL radiculopathy". Can anyone tell me what that means??



http://www.ncbi.nlm.nih.gov/pubmed/6620272?dopt=Abstract  (+ info)

What is brachial radiculopathy?? degenerative disk disease, c6, herniated, etc..?

I have a couple of herniated disks, bulging disks, ddd (disk disease), djd (joint disease), c6 nerve root damage.
These all affect c4-5, c5-6, & c6-7.
On the report it also states: "BRACHIAL radiculopathy". Can anyone tell me what that means??

You have a considerable amount of problems located in one area. The Brachial radiculopathy is referring to an inflamation of the nerves that compose the Brachial Plexus. You have mentioned most of them starting from C4 and going down to C7. That is most of the group forming the plexus. There would be irritation of the nerves of the neck, shoulder, upper back, and arm into the hand. I can only hope that you are in some type of rehabiltiation program for all of that.  (+ info)

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