What signs of cervical radiculopathy can be observed during the history portion of the evaluation?

Updated: Oct 08, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

See the list below:

  • Observation

    • The physical examination begins with observation of the patient during the history portion of the evaluation. This includes head and neck posture and movement during normal conversation. Typically, patients tilt their head away from the side of injury and hold their neck stiffly.

    • Active ROM is usually reduced, particularly in extension, rotation, and lateral bending, either toward or away from the affected nerve root.

    • Increased pain with lateral bending away from the affected side can result from increased displacement of a herniated disc onto a nerve root, whereas ipsilateral pain suggests impingement of a nerve root at the site of the neural foramen.


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