okc’s pain clinic

Are you suffering from neck pain?

If so, please contact a pain doctor at Oklahoma Pain Treatment Centers to learn about how we can ease your suffering. We’re eager to help.

Anatomy of the Cervical Spine and Nerves

The cervical spine consists of seven vertebrae (C1-C7), which support the neck and allow for movement. Nerve roots exit the spinal column at each level, transmitting signals between the brain and the upper body. Compression or irritation of these nerve roots can result in pain, weakness, or numbness known as cervical radiculopathy.

Common Causes of Cervical Radiculopathy and Neck Pain

• Herniated Discs – The protrusion of a spinal disc that compresses nearby nerves.

• Degenerative Disc Disease – Age-related changes leading to reduced disc height and nerve impingement.

• Spinal Stenosis – Narrowing of the spinal canal, leading to nerve compression.

• Trauma from Auto Accidents – Whiplash injuries can cause disc herniation or inflammation, resulting in nerve irritation.

• Cervical Facet Joint Arthritis – Degenerative changes in the small joints of the spine can contribute to chronic pain.

• Cervicogenic Headaches – Headaches originating from the neck due to muscular or joint dysfunction.

Symptoms of Cervical Radiculopathy

• Neck pain that radiates to the shoulders and arms

• Tingling or numbness in the hands and fingers

• Muscle weakness in the upper extremities

• Headaches originating from the cervical region

• Reduced range of motion in the neck

Diagnosis of Cervical Radiculopathy

• Physical Examination – Assessing neurological function, strength, and range of motion.

• MRI or CT Scan – Imaging to detect disc herniation or spinal stenosis.

• Electromyography (EMG) – Evaluates nerve function and identifies areas of compression.

Treatment Algorithm for Cervical Radiculopathy and Neck Pain

1. Conservative Treatments

   • Physical therapy to improve flexibility and strength

   • NSAIDs or corticosteroids for inflammation control

   • Ice and heat therapy for pain management

   • Activity modification to avoid exacerbating symptoms

2. Interventional Procedures

   • Cervical Epidural Steroid Injections – Direct anti-inflammatory medication to the affected nerve root.

   • Cervical Facet Joint Injections – Administering local anesthetic and steroids into the facet joints to relieve pain.

   • Radiofrequency Ablation (RFA) – A minimally invasive procedure that uses heat to disrupt pain signals from the cervical facet joints.

3. Surgical Options (For severe or persistent cases)

   • Anterior Cervical Discectomy and Fusion (ACDF) – Removing a herniated disc and fusing the vertebrae for stability.

   • Cervical Disc Replacement – An alternative to fusion that preserves neck motion.

Prognosis and Long-Term Management

Most individuals recover with conservative treatments within 6-12 weeks. Those requiring interventions such as injections or surgery often experience significant pain relief and functional improvement.

Seeking Specialized Care

For expert treatment, visit:

• Oklahoma Pain Treatment Centers – Specializing in interventional pain management.

• Accident Clinics – Offering comprehensive evaluations for auto accident injuries.

• Mayo Clinic – A leading resource for cervical spine disorders.

• NIH Research Articles – Providing the latest findings on cervical radiculopathy and pain management.

If you experience persistent neck pain or cervicogenic headaches, consult a board-certified physician to explore your best treatment options.