Suffer from Neck Pain That Spreads to Your Shoulders or Arms?
You May Have Cervical Radiculopathy
By Dr Lau LL | drlauspineclinic@gmail.com | Singapore
The Scoliosis & Spine Clinic (SG) provides expert care for cervical radiculopathy—a condition caused by nerve root compression in the neck. Patients often experience radiating arm pain, numbness, or weakness. This article outlines how cervical radiculopathy presents, what causes it, and how it can be managed effectively in Singapore.
What Are the Symptoms?
- Sharp or burning neck pain
- Radiating pain into the shoulder or arm
- Numbness or tingling in fingers or forearm
- Muscle weakness or grip difficulty
- Reduced reflexes in the upper limb
What Are the Risk Factors?
- Age 40–60 (disc degeneration)
- Repetitive neck movements or poor ergonomics
- Forward head posture (e.g., screen use)
- Smoking and reduced disc nutrition
- Heavy manual labor or vibration exposure
- Genetic predisposition
- Previous neck injury or surgery
What Causes Cervical Radiculopathy?
- Herniated cervical disc
- Bone spurs (osteophytes)
- Trauma (e.g., whiplash)
- Tumors or infections (rare)
How Is It Diagnosed?
- Physical examination (Spurling’s test, reflex checks)
- MRI or CT scan to visualize nerve compression
- Electromyography (EMG) for nerve function
What Are the Treatment Options?
Non-Surgical Management
- Activity modification and posture correction
- Physical therapy (traction, strengthening)
- Medications (NSAIDs, muscle relaxants)
- Epidural steroid injections
Surgical Intervention
- Anterior cervical discectomy and fusion (ACDF)
- Posterior cervical foraminotomy
- Artificial disc replacement
Conclusion
Cervical radiculopathy can significantly impact daily function and quality of life. At The Scoliosis & Spine Clinic (SG), we offer comprehensive evaluation and tailored treatment plans—from conservative care to advanced surgical options. Early diagnosis and intervention are key to long-term recovery and spinal health.
Frequently Asked Questions
1. Should I sleep on my side or my back?
Both positions can be suitable depending on what reduces your symptoms. Sleeping on your back with a supportive neck pillow helps maintain alignment. If you sleep on your side, use a pillow that keeps your head level and avoid curling your neck forward.
2. How long will the symptoms take to resolve?
Most patients improve within 6 to 12 weeks with nonoperative care such as physiotherapy, medication, and rest. Recovery time varies depending on severity and individual response to treatment.
3. The symptoms are not improving with nonoperative treatment. What’s next?
If conservative treatment fails, further evaluation may be needed. This could include imaging (MRI), nerve studies, or a surgical consultation. Surgery may be considered if pain, weakness, or nerve compression persists.
4. What are the risks of surgery making me worse?
Spine surgery is generally safe when performed by an experienced specialist. However, risks include infection, nerve injury, persistent symptoms, or adjacent segment degeneration. Dr Lau LL will explain these risks and help you make an informed decision.
5. What is the downtime after surgery?
Most patients return to light activities within 2 to 4 weeks. Full recovery may take 6 to 12 weeks depending on the procedure and individual healing. Rehabilitation and follow-up care are essential for optimal recovery.
6. Will the clinic help me with insurance claims?
Yes. The Scoliosis & Spine Clinic (SG) offers administrative support for insurance claims, including documentation, medical reports, and coordination with your insurer.
If you’re experiencing persistent neck pain or arm symptoms, please contact our clinic for a personalized evaluation.