- Herniated intervertebral disk
- Prolapsed intervertebral disk
- Slipped disk
- Ruptured disk
- Herniated nucleus pulposus
- 721.1 Cervical spondylosis with myelopathy
- 719.48 Pain in joint involving other specified sites
- 722.0 Displacement of cervical intervertebral disc without
- 722.4 Degeneration of cervical intervertebral disc
- 722.71 Intervertebral disc disorder with myelopathy cervical
- M47.12 Other spondylosis with myelopathy, cervical region
- M50.00 Cervical disc disorder with myelopathy, unspecified
- M50.30 Other cervical disc degeneration, unspecified cervical
- Any disorder that affects the spinal nerve roots
- Lateral cervical spine nerve root compression
- Gradual or acute onset secondary to intervertebral disc or
osteophyte formation in the intervertebral foramen1
- Diagnosis made by clinical examination
- Dermatome or myotome pattern
- Reproduction of symptoms
- Herniated disk is one cause
- Avoid positions that increase symptoms
- Women at greater risk than men, middle-aged to geriatric
- Neck, shoulder, upper extremity pain and parasthesia often
radiating to hand1
- Pain in cervical spine worsens with cervical extension, side
bending, and rotation to the involved side1
- Diminished sensation, motor control and reflexes in the distribution
of the involved nerve1
- Difficulty sustaining sitting postures secondary to neck
and arm pain
- Inability to sleep
- Weakness with upper-extremity lifting
- Loss of movement or feeling in upper extremity
- Difficulty with neck movements, as with driving, secondary
- Forward-head or rounded-shoulder posture due to tight
pectoralis, weak periscapular, deep neck flexor muscles.
- Prolonged extension or position of cervical side-bending towards
- Facet hypertrophy
- Size of spinal canal; can be congenital
- MRI helps to visualize compressed or inflamed
nerve root in diagnosis
- X-ray/plain-film radiograph helpful if
osteophyte located in intervertebral foramen
- CT scan to show herniation compressing the spinal
- Physical exam cluster to rule in cervical radiculopathy2
- Spurling’s test
- Rotation limited to ipsilateral side
- Upper limb nerve tension test
- Diminished brachioradialis reflex
- To hospital for imaging
- To physician for surgical consult if myelopathy suspected
- To hospital for imaging and medical consult if sinister disease
- To physician for corticosteroid injection if condition does
- To physician ...
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