The Pathomorphologic Changes That Accompany the Resolution of Cervical Radiculopathy

Bush, Keith; Chaudhuri, R.; Hillier, S; Penny, Jane

doi:10.1097/00007632-199701150-00009

Cited by 70 publications

(9 citation statements)

References 20 publications

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“…Bush et al [5] prospectively reported on 13 subjects with cervical radiculopathy from HNP that received either a blind injection, fluoroscopically guided transforaminal CESI or interlaminar CESI. An average follow-up of 12 months (range, 4–31 months) underwent telephone interview and repeat MRI.…”

Section: Efficacymentioning

confidence: 99%

“…Outcomes are favorable in both surgical and non-surgically treated groups without reproducible significant outcome differences of one treatment over the other [1–3]. The favorable outcome from cervical radiculitis from herniated disk may be due in part to the natural regression of disk herniation over time [4, 5]. However, well-designed randomized trials of surgical outcome and non-surgical outcome for specific diagnostic entities have not been performed.…”

Section: Introductionmentioning

confidence: 99%

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Cervical epidural steroid injections in the management of cervical radiculitis: interlaminar versus transforaminal. A review

Huston

2009

Curr Rev Musculoskelet Med

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Section: Efficacymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cervical epidural steroid injections in the management of cervical radiculitis: interlaminar versus transforaminal. A review

Huston

2009

Curr Rev Musculoskelet Med

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“…Bush et al [11] in their series of 68 patients, reported that 81% achieved complete relief from arm and neck pain, although the authors also used other techniques, including a cervical plexus block. Vallée et al [9] reported a significant reduction in pain in 62% of 32 patients with cervical radiculopathy, but did not use contrast to confirm the position of the needle tip.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy and Persistence of Selective Nerve Root Block under Fluoroscopic Guidance for Cervical Radiculopathy

et al. 2012

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Study DesignRetrospective study.ObjectivesTo investigate the outcomes of fluoroscopically guided selective nerve root block as a nonsurgical treatment for cervical radiculopathy.Overview of LiteratureOnly a few studies have addressed the efficacy and persistence of cervical nerve root block.MethodsThis retrospective study was conducted on 28 consecutive patients with radicular pain due to cervical disc disease or cervical spondylosis. Myelopathy was excluded. Cervical nerve root blocks were administered every 2 weeks, up to 3 times. Outcomes were measured by comparing visual analogue scale (VAS) scores, patient satisfaction, and medication usage before the procedure and at 1 week and 3, 6, and 12 months after the procedure. In addition, complications associated with the procedure and need for other treatments were evaluated.ResultsThe average preoperative VAS score was 7.8 (range, 5 to 10), and this changed to 2.9 (range, 1 to 7) at 3 months and 4.6 (range, 2 to 7) at 12 months. Patient satisfaction was 71% at 3 months and 50% at 12 months. Five patients used medication at 3 months, whereas 13 used medication at 12 months. Average symptom free duration after the procedure was 7.8 months (range, 1 to 12 months). Two patients were treated surgically. Only two minor complications were noted; transient ptosis with Horner's syndrome and transient causalgia.ConclusionsAlthough selective nerve root block for cervical radiculopathy is limited as a definitive treatment, it appears to be useful in terms of providing relief from radicular pain in about 50% of patients at 12 months.

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“…In a prospective study it was found that most cervical disc herniations regress with time and without the need for surgical resection [30]. Patients were finally examined and discharged from care because of sustained pain control at an average of six months.…”

Section: Case Presentationmentioning

confidence: 99%

Cervical stenosis in a professional rugby league football player: a case report

Pollard

Hansen²,

Hoskins

2005

Chiropr Man Therap

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Background: This paper describes a case of C7 radiculopathy in a professional rugby league player after repeated cervical spine trauma. The report outlines the management of the patient following an acute cervical hyperflexion injury with chiropractic manipulation and soft tissue therapies. It also presents a change in approach to include distractive techniques on presentation of a neurological deficit following re-injury. The clinical outcomes, while good, were very dependent upon the athlete restricting himself from further trauma during games, which is a challenge for a professional athlete.

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The Pathomorphologic Changes That Accompany the Resolution of Cervical Radiculopathy

Abstract: Most cervical disc herniations regress with time and without the need for surgical resection. Thus, surgical intervention can be avoided with adequate pain control, allowing the herniation time to regress.

Cited by 70 publications

References 20 publications

Cervical epidural steroid injections in the management of cervical radiculitis: interlaminar versus transforaminal. A review

Cervical epidural steroid injections in the management of cervical radiculitis: interlaminar versus transforaminal. A review

The Efficacy and Persistence of Selective Nerve Root Block under Fluoroscopic Guidance for Cervical Radiculopathy

Cervical stenosis in a professional rugby league football player: a case report

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