Physical Therapy Nest

A provider can diagnose cervical radiculopathy through:

• A review of medical history (injuries, posture habits, or repetitive strain).

• A physical exam testing reflexes, muscle strength, and sensation in the arms.

• Range of motion tests to evaluate pain triggers.

• Imaging such as MRI, CT scan, or X-ray to confirm nerve compression and its cause.

• Occasionally, nerve conduction studies or EMG to check how nerves are functioning.

Most cases of cervical radiculopathy respond well to non-surgical care. Physical therapy is a key treatment and may include:

• Manual therapy to reduce joint stiffness and nerve irritation

• Cervical traction to gently relieve pressure on compressed nerves

• Strengthening exercises for the neck, shoulders, and upper back

• Stretching routines to restore flexibility

• Postural retraining to reduce future stress on the cervical spine

• Pain management techniques like heat, ice, or electrical stimulation
  If symptoms are severe or persistent, physicians may recommend injections or surgical options.

Typical symptoms of a pinched nerve in the neck include:

• Sharp or burning neck pain that radiates into the shoulder, arm, or hand

• Numbness or tingling (pins and needles) in the arm or fingers

• Muscle weakness in the arm, hand, or grip strength

• Pain that worsens with certain movements, coughing, or sneezing

• Difficulty with fine motor skills if the compression is severe

To reduce the risk of developing or worsening cervical radiculopathy:

• Maintain good posture when sitting, standing, and using screens

• Keep workstations ergonomically aligned (monitor at eye level, supportive chair)

• Take frequent breaks from long periods of sitting or device use

• Strengthen core, back, and neck muscles to support the spine

• Avoid heavy lifting with poor technique

• Sleep with a pillow that supports natural neck alignment