Неврология, нейропсихиатрия, психосоматика (Oct 2022)

Cervical radiculopathy

  • A. I. Isaikin,
  • T. E. Schmidt,
  • Yu. M. Shor

DOI
https://doi.org/10.14412/2074-2711-2022-5-103-108
Journal volume & issue
Vol. 14, no. 5
pp. 103 – 108

Abstract

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The article discusses the clinical manifestations, pathomorphology, pathogenesis and various treatment methods of cervical radiculopathy (CR). Article points out diagnostic difficulties arising from the frequent discrepancy between clinical and neuroimaging data. The issues of choice of conservative and surgical treatment are discussed, based on the analysis of data from recent systematic reviews.In the absence of focal neurological symptoms, radicular compression is unlikely. The natural course of CR is favorable. Rehabilitation programs are used as the first line of treatment, including a combination of education, exercise, manual therapy, psychological and pharmacological methods. Drug therapy for CR starts with non-steroidal anti-inflammatory drugs administration; to achieve the effect quickly, it is possible to use aceclofenac (Aertal) in the form of a powder for suspension.

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