Cervical radiculopathy pain travels down the arm in the area of the involved nerve. Pain is usually described as sharp. There can also be a "pins and needles" sensation or even complete numbness. In addition, there may be a feeling of weakness in certain activities. Symptoms can be worsened with certain movements, like extending or straining the neck or turning the head. These symptoms are often made better by placing the hand on the head and stretching the shoulder. 

X-rays can show the alignment of bones along the neck. They can also show any narrowing of the foramen and discs. An MRI of the neck can show if nerve compression is caused by soft tissue, such as a bulging disc and herniations (see figure). MRI can also show the appearance of the spinal cord and nerve roots.

1. Soft Collars- Soft collars allow the muscles of the neck to rest and limit neck motion. This can help decrease the pinching of nerve roots with movement. Soft collars should only be worn for short periods of time because long-term wear can decrease the strength of neck muscles.
2. Physical Therapy- Physical therapy exercises help with neck muscle stretching and strengthening. Sometimes, traction is also used for short periods.
3. Medications - It include nonsteroidal anti-inflammatories, oral corticosteroids and neuropathic drugs like Pregabalin and Gabapentin.

There are several surgical procedures for radiculopathy. The options include the anterior cervical discectomy and fusion (with patient’s own bones – iliac autograft, bank bone – allograft) supplemented with cage and plates or artificial disc replacement). The procedure that is right for you will depend on many factors, most importantly the type of problem you have. 

What is cervical micro-discectomy and fusion?

Through a small incision on the front of the neck, the spine is accessed. Under microscope visualization, the disc material compressing the nerve is removed. This relieves the pain and allows the nerve to regain its normal function.