Cervical Radiculopathy Podcast

Рет қаралды 50,637

Күн бұрын

In episode #5 of the Princeton Spine & Joint Center Podcast, Dr. Grant Cooper spoke with his colleague Dr. Zinovy Meyler about cervical radiculopathy or a pinched nerve in the neck. They discussed how to think about it in terms of the different types of radiculopathies and radiculitis. What causes it and how it is diagnosed. How to treat it and how to prevent it. Dr. Cooper and Dr. Meyler discussed the biomechanics of why therapy is important and how they utilize it, the ergonomics of daily life and computer use, and some of the interventional aspects of getting better with injections and potentially surgery.
The podcast runs about an hour and twenty minutes so if this is a topic that you're interested in, you will get a lot of this deep dive into cervical radiculopathy.
0:00 Introduction
02:28 What is Cervical Radiculopathy?
07:21 What Causes Cervical Radiculopathy?
10:02 How Does Cervical Radiculopathy Present?
17:11 What is Double Crush Syndrome?
22:06 How Do You Diagnose Cervical Radiculopathy?
28:45 Spurling's Test
31:53 How Do You Move Forward After Diagnosis?
1:00:40 Too Much Pain for Physical Therapy?
1:09:04 Can You Cure Cervical Radiculopathy or Radiculitis?
1:16:06 Surgery for Cervical Radiculopathy
1:21:25 Like & Subscribe
#backpain #backpainrelief #neckpain #health #orthopaedics #doctors #cervical #cervicalstenosis #cervicalradiculopathy

Пікірлер: 75

@bekahboop 2 жыл бұрын

I had 2 surgeries for thoracic outlet syndrome finally got second opinion it was regional cervical radiculopothy… So I said anyone with any of the symptoms to get a second opinion before they go getting surgery… I’ve lived with this for over 10 years

@KiwikimNZ 2 жыл бұрын

I hear you two spinal fusions to my thoracic and cervical spine. And now another herniations in my cervical spine the nerve pain is horrible. Shooting pain from my neck through my shoulder down my arm and into my hand. No one will help. It’s been 8 years of pain for me and I’m done

@lasquared777 2 жыл бұрын

@@KiwikimNZ try to seek a good spinal manual PT... They know how to relieve pressure on the nerves thru joint mobs, stretching & massage.

@KiwikimNZ 2 жыл бұрын

@@lasquared777 yes I’d love to find someone like that but our resources are very limited her in New Zealand. The other thing is that because my fusion has deteriorated and I now am So bent with kyphosis, a degree of 90, the time of my injury I was at 23 degrees. My chest cavity is so squashed now that my sternum/xiphoid process is not pushing forward and sticking out quite prominently now. I don’t think any treatment would help at the moment as I’m on such a rapid decline, whatever benefit that could come if it would be short lived I think. I’m very short of money also and can’t afford to do things like that. I really do appreciate you reaching out and offering advice I will right it down and research it and definitely is worth a look. I appreciate it thank you x

@infectdiseaseepidemiology2599 9 ай бұрын

As a physician (MD and PhD) and pain researcher at a major university medical school and School of Public Health, this is perhaps the most useful discussion that I have seen or heard-both for my own condition, and I think for any thinking patient. This is truly superb.

@catherinethayil4813 2 жыл бұрын

How about if the Mri shown mild multiple disc prolapse but still have moderate to severe neck pain radiation to the shoulder, scapula and arm with right hand weakness? What would be the treatment?

@donpleis7281 Жыл бұрын

Thank you doctors for your time.

@sharonsuskin6859 Жыл бұрын

I have the pleasure of seeing both of these doctors and they are incredible. I can attest that they are as knowledge and kind as they seem. Great talk.

@RainbowGage Жыл бұрын

I am looking forward to my MRI, this stuff is scary. I would consider myself as strong as a ufc fighter, but my exercise/ daily life is progressively too much for the pain pills. I dont know what that means for me, more rest rather than exercises that I used to do.

@SpirituallyNixawake 2 жыл бұрын

This has been very helpful. I am in the uk I had severe progressive degenerative disc disease cervical myelopathy. Due to covid 19 I was cancelled many times. The reason they found out was because it started with spasms in my arm. I have been having spasms and nerve sensations and now pain again after having C5/6 I had a silicone disc replaced. I have had awful sensations in my body and now I am seeing a neurologist. Also the surgeon told me he left some of the diseased disc in. I am so concerned about my nerves and spasms. I am 53 years old. Any advice would be fantastic. I also have tendinitis in my fingers also Carpal tunnel.

@imariatonches8136 Жыл бұрын

You are fantastic!Very well explained!

@coyedahlstrom2305 2 жыл бұрын

Thank you for sharing this information 🙏🏼

@ndxtesting6861 3 жыл бұрын

Very informative video and educational for new patients.

@reidbrian08 3 жыл бұрын

Thanks

@garethlewis6633 3 жыл бұрын

Great discussion, thanks heaps.

@janisripple754 Жыл бұрын

Excellent Saved clips to discuss with my family

@humanityenslaved3380 3 жыл бұрын

I feel stingers down my left arm and under my collar bone. Im an MMA fighter and I can't receive any impact to my head right now cuz my arm will give out. Truly heart breaking. Maybe this'll help

@Karinesrecipe 2 жыл бұрын

Gratitude for being here to tell your story= Priceless!

@RB-gt8bf 3 жыл бұрын

So glad I found this informational video as I have just rec'd this diagnosis and wanting to get as informed as possible...I am so glad I found this nerd video as that fits me and seeking info regarding managing this along with my care team

@SheilaD111 3 жыл бұрын

Same here. Awful pain!!

@christopherlukas4145 2 жыл бұрын

you probably dont give a damn but does anybody know a method to log back into an Instagram account? I stupidly forgot my login password. I love any assistance you can offer me!

@jayzander3577 2 жыл бұрын

@Christopher Lukas instablaster :)

@christopherlukas4145 2 жыл бұрын

@Jay Zander i really appreciate your reply. I found the site thru google and Im in the hacking process atm. I see it takes quite some time so I will reply here later with my results.

@christopherlukas4145 2 жыл бұрын

@Jay Zander it did the trick and I now got access to my account again. I am so happy! Thanks so much you saved my ass !

@rasikarane02 3 жыл бұрын

Very informative.. 👍🏻

@ujyphiladm8 3 жыл бұрын

I went to orthopedic 1st visit said it's frozen shoulder. He did not inspect my neck that is in pain. My pain started on the elbow in may 2020. Then it spread out through my right shoulder, upper arm, back. I had pain in my hand wrist no carpal though. My upper shoulder right, pain in my back head. I receive electrification in different parts of my body like burning. But yet the orthopedic said the reason it's happening was because it's called frozen. How is that?

@anetcoetzer1093 2 жыл бұрын

Treat the patient, not the MRI

@applemanuk 3 жыл бұрын

My MRI scan showed that I have a degenerate disc at C6/7 with apparent narrowing of the neural canal on the left and compromise of the left C7 root. The MRI showed no other problems with the discs. My issues are though that I have classic symptoms of Cervical Radiculopathy with right hand side brachialgia on the right hand side of my body. Would this be normal?

@susanzacharias5725 2 жыл бұрын

Can i do the excercises for this inflamed nerve? on the left side of my neck?

@streetlegalone 6 ай бұрын

Very helpful--thank you both

@susanzacharias5725 2 жыл бұрын

i get headaches from an inflammed nerve in my neck!

@angelic680 2 жыл бұрын

Same here it hurts a lot 😭! How are you doing?

@lisayates2490 2 жыл бұрын

I was diagnosed with occipital nueralgia n I have a narrowing canal thickened ligaments and atrophy and hypertrophy basically 4 different stenosis n burs on my arrowing canal as well as a herniated c5 n c6 n 13 yrs ago I had a fusion on my c6 c7. I have pain daily my sciatica on left side n pins n pinches like electric shock feelings in my toes n feet haven't done anything about that yet.

@janisripple754 Жыл бұрын

I have had electric shock on right side of neck headache fullness in my ear- though allergies

@janisripple754 Жыл бұрын

I also have rt foot numbness pain I had surgery on my foot Morton neuroma

@heidiwitherspoon485 3 жыл бұрын

I appreciated this video. So informative as I deal with the -itis and the -radiculopathy. Why no mention of Gabapentin?

@KatJ3st Жыл бұрын

That med either works well, or very poorly with significant side effects. It's a bandaid only sadly.

@ArChi285 2 жыл бұрын

Hello Doctors, can I work normally even if I have radiculitis and no weakness felt, just pain and some needles and pins effects?

@lisayates2490 2 жыл бұрын

It won't be long and you will

@ArChi285 2 жыл бұрын

@@lisayates2490 I did, but now healed. Thanks God.

@Gbh207 9 ай бұрын

So why dont medical proffessionals here in australia when it comes to issues such as radiculopathy treat everything you just explained but do it completely the opposite way.I had to do my own research just too managed my own isues because i didnt like the approach suggested to me.

@humanityenslaved3380 3 жыл бұрын

What do you know about dexabion?

@Candala5614 3 жыл бұрын

So I am suffering this pain like almost 1 years maybe more

@Leroy100 3 жыл бұрын

Get a EMG test. I got one today. Have tingling in both hands and up the arm sometimes. Sore neck. Test showed Severe pinched nerve C7 left side. Also C5 right side. MRI next. Thank the lord they found the problem.

@megaslayer92 3 жыл бұрын

@@Leroy100 Okay but what do they do once its found? stretches and steroid injections dont fix these things.

@ArChi285 2 жыл бұрын

@@megaslayer92 how did you know that stretches/exercise cannot solve the problem?

@megaslayer92 2 жыл бұрын

@@ArChi285 cause ive had the pain for roughly 3 years now give or take, and ive tried it all lol. maybe it could work for others but stretching/exercise wont help me. If anything, exercise flares up the pain.

@ArChi285 2 жыл бұрын

@@Leroy100 how is the tingling/numbness of your arm and hand? I have it right now, but my MRI is now normal said my neurologist. He said that I just need an active physiotherapist. I need some help to rid this numbness and pain, please share your experience.

@sergusbower1270 3 жыл бұрын

I have cervical spine pain radiclapthy I have pain and numbness in hands my pt made me horribly worse now My arms are week and everything is worse please help drs I’m seeing are horrible please help wearing a jacket around my neck gently massage sending me into flairs I was getting better before pt any suggestions please help 🙏🙏🙏

@Leroy100 3 жыл бұрын

Get a EMG test. It will find the problem/cause. Don’t wait.

@sergusbower1270 3 жыл бұрын

@@Leroy100 what is that test? Thank you so much do you have any suggestions on what’s going on????

@Leroy100 3 жыл бұрын

Testing to see if my reply posted. Can’t see it. Maybe it was to long. I'll post it in 2 parts.

@Leroy100 3 жыл бұрын

Sergus, let me know if you see my long reply to you. If not i will repost it. thanks.

@sergusbower1270 3 жыл бұрын

@@Leroy100 could not get reply thank you so much for trying bless you 🙏🙏🙏

@antonioreyes2692 3 жыл бұрын

Can chronic lumbar spine problems cause and/or aggravate cervical spine that manifest with frequent numbing of upper extremities???

@jacobl5488 3 жыл бұрын

Think of it this way. If you have degenerative issues in the lumbar spine.. chances are you probably have degenerative issues in the cervical spine as well. But that is not to say the lumbar issues are CAUSING your upper extremity symptoms. Typically, cervical spine issues cause upper extremity symptoms.

@KiwikimNZ 2 жыл бұрын

You can sometimes have a change to the curve of your lumber spine called lordosis, the lordosis can go into a hyper lordosis so an over curvature of your lumber spine, it will then cause problems all the way up your spine due to the change in your gait and over balancing problems. Look into lordosis. It may be effecting your thoracic and cervical spine:) good luck

@PeasLivesMatterGivePeasaChance 6 ай бұрын

Fatboy slims day job This is the most interesting hour and some ever and probably wrong with my back spine just no one has listened to me (for 30 years now fobbed off) and I’m at the point of disparity and beyond repair

@bmp713 6 ай бұрын

I have mild neck pain but lots of numbness on my neck, shoulders, and hands all greatly aggravated by bending my neck. 4 surgeons have recommended 2 level ADR and diagnosed radiculopathy and myelopathy because of also having hyperreflexia, mild balance issues, and positive Hoffmans. How is it possible I can have severe bilateral foraminal stenosis and cord compression at C5-C7 yet have only mild neck pain and no pain radiating down my arms? Does the numbness sound more like radiculopathy or myelopathy? How can you tell?

@reneeashworth3166 4 ай бұрын

I had an MRI 3 years ago. I was diagnosed with foraminal stenosis and degenerative disc disease. Is it possible I should have another MRI to see if there's any advancement in it? Because I have had a lot of pain in my back and shoulders in my right arm. I have burning sensations especially at night when I'm lying down