Cervical Radiculopathy Treatment
Cervical radiculopathy — often called a "pinched nerve in the neck" — happens when a nerve root exiting the cervical spine is compressed or irritated, usually by a herniated disc or arthritic narrowing (stenosis) of the openings where nerves exit. The result is pain, tingling, numbness, or weakness that radiates from the neck into the shoulder blade, arm, or hand. Most cases improve without surgery, and Mountain View Pain Center provides the full non-surgical pathway in one coordinated plan.
Common Causes
Herniated or bulging cervical discs pressing on a nerve root; degenerative changes — bone spurs and foraminal narrowing from cervical arthritis and stenosis; and, less commonly, injury. Which arm regions are affected depends on which nerve root is involved, which helps us localize the problem.
Common Symptoms
Sharp, burning, or electric pain radiating from the neck into the arm; numbness or tingling in specific fingers; weakness with grip or lifting; pain that worsens with certain neck positions; and relief in some patients when resting the hand on top of the head. Symptoms in both arms, worsening weakness, or changes in walking or bladder control warrant urgent evaluation.
How We Evaluate Cervical Radiculopathy
We map your symptoms to specific nerve root patterns through history and a focused neurological exam — strength, reflexes, sensation, and provocative neck positions. Imaging (MRI) and nerve studies are used when symptoms are severe, progressive, or not improving, or when interventional treatment is being planned.
How We Treat Cervical Radiculopathy
- Pain management — image-guided cervical epidural steroid injections and selective nerve root blocks can calm nerve inflammation and confirm the pain source
- Physical therapy — nerve-calming positioning, traction where appropriate, and progressive strengthening of the neck and scapular muscles
- Chiropractic care — gentle, appropriate techniques to improve cervical and upper-thoracic mechanics
- Acupuncture — adjunct care for pain and muscle guarding
Request Your Appointment — clinics across Colorado and Arizona, or call (720) 749-5599.
Cervical Radiculopathy FAQs
How is this different from general neck pain?
Neck pain stays in the neck; radiculopathy radiates along a nerve into the arm, often with tingling, numbness, or weakness. The distinction changes the treatment plan, so it's a key part of our evaluation.
Will a pinched nerve in my neck heal on its own?
Many cases improve over weeks to months as inflammation settles. Structured conservative care speeds recovery, controls pain, and helps prevent recurrence.
When is surgery needed?
Surgery is considered for progressive weakness, signs of spinal cord involvement, or severe symptoms that persist despite thorough conservative care. Most patients never need it; we refer promptly when they do.
Can radiculopathy cause symptoms in my hand only?
Yes. Some patients feel little neck pain and mostly hand tingling or weakness, which can mimic carpal tunnel syndrome. Examination distinguishes the two.
Do I need a referral to schedule?
Most patients can schedule directly without a referral. Some insurance plans require one for coverage — we verify your benefits before your first visit, so call (720) 749-5599 and we'll handle the details.
References
- American Academy of Orthopaedic Surgeons — OrthoInfo: Cervical Radiculopathy (Pinched Nerve)
- North American Spine Society — KnowYourBack
- MedlinePlus (NIH): Neck Injuries and Disorders
Last updated: July 23, 2026.