Cervical radiculopathy

Author:

Isaikin A. I.1ORCID,Schmidt T. E.1,Shor Yu. M.1ORCID

Affiliation:

1. I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Abstract

The article discusses the clinical manifestations, pathomorphology, pathogenesis and various treatment methods of cervical radiculopathy (CR). Article points out diagnostic difficulties arising from the frequent discrepancy between clinical and neuroimaging data. The issues of choice of conservative and surgical treatment are discussed, based on the analysis of data from recent systematic reviews.In the absence of focal neurological symptoms, radicular compression is unlikely. The natural course of CR is favorable. Rehabilitation programs are used as the first line of treatment, including a combination of education, exercise, manual therapy, psychological and pharmacological methods. Drug therapy for CR starts with non-steroidal anti-inflammatory drugs administration; to achieve the effect quickly, it is possible to use aceclofenac (Aertal) in the form of a powder for suspension. 

Publisher

IMA Press, LLC

Subject

Psychiatry and Mental health,Neurology (clinical),Clinical Psychology

Reference42 articles.

1. Bono CM, Ghiselli G, Gilbert TJ, et al. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J. 2011;11(1):64-72. doi: 10.1016/j.spinee.2010.10.023

2. Kuijper B, Tans JTJ, Schimsheimer RJ, et al. Degenerative cervical radiculopathy: diagnosis and conservative treatment. Areview. Eur J Neurol. 2009;16:15-20. doi: 10.1111/j.1468-1331.2008.02365.x

3. Yakhno NN, Abuzarova GR, Alekseyev VV, et al. Bol': Prakticheskoye rukovodstvo [Pain: A Practical Guide]. Moscow: MEDpressinform; 2022. 416 p. ISBN 978-5-907504-41-7 (In Russ.).

4. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2163-96. doi: 10.1016/S0140- 6736(12)61729-2

5. Mansfield M, Smith T, Spahr N, Thacker M. Cervical spine radiculopathy epidemiology: A systematic review. Musculoskelet Care. 2020 Dec;18(4):555-67. doi: 10.1002/msc.1498. Epub 2020 Jul 25.

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Treatment of acute and chronic cervical musculoskeletal pain;Meditsinskiy sovet = Medical Council;2023-07-21

2. Periarticular cysts of the cervical spine;Neurology, Neuropsychiatry, Psychosomatics;2023-07-03

3. Efficacy and safety of aceclofenac in musculoskeletal diseases;Neurology, Neuropsychiatry, Psychosomatics;2023-04-30

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3