Chronic Cervical Pain: Radiculopathy or Brachialgia: Noninterventional Treatment

Hubert L. Rosomoff, David Fishbain, Renee S. Rosomoff

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve of twenty-five achieving a pain level of 0 (out of a possible 10), ten of twenty-five had a pain level of 2, and three of twenty- five had a pain level of 4. Five cases were considered to be failures because of patient noncompliance. Treatment was multidisciplinary: aggressive physical medicine, behavioral medicine, vocational, and recreational rehabilitation with the goal of a return to socioeconomic productivity or previous lifestyle, secondary to which pain relief or control follows. Emphasis was placed on the restoration of musculoskeletal physiology to normal with behavioral modification, good body mechanics and the application of engineering/ergonomic principles at work or recreation.

Original languageEnglish (US)
Pages (from-to)362-366
Number of pages5
JournalSPINE
Volume17
Issue number10S
StatePublished - Oct 1992

Keywords

  • brachialgia
  • cervical stenosis
  • ergonomics
  • herniated disc
  • multidisciplinary pain treatment
  • myofascial syndromes
  • radiculopathy

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

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    Rosomoff, H. L., Fishbain, D., & Rosomoff, R. S. (1992). Chronic Cervical Pain: Radiculopathy or Brachialgia: Noninterventional Treatment. SPINE, 17(10S), 362-366.