FASCIAL ADHESIONS, CHRONIC NECK PAIN, AND CERVICAL RADICULOPATHY
Radiculopathy refers to a set of conditions in which one or more nerve roots (the nerves along the spine) are affected and do not function properly. This can result in pain that follows very specific patterns, weakness, numbness, tingling, or difficulty controlling specific muscles. A nerve root impingement in the neck can produce pain and weakness in the forearm. Cherry picked from a popular online dictionary's definition of "Radiculopathy"
CHRONIC NECK PAIN and HEADACHES go together like chicken and dumplings. But there is another problem that I frequently find in patients struggling with Chronic Neck Pain as well ----- various combinations of pain, numbness, tingling and weakness that run into the arm. This is often times just like SCIATICA, only in the upper extremity instead of the leg. And just like some cases of Sciatica, there are some cases of Radiculopathy where the neck itself will not hurt even though the arm feels like it is on fire. The website of the American Academy of Orthopedic Surgeons says that, "It is most important to note that the majority of patients with cervical radiculopathy get better with time and never need surgery, or even any treatment at all. It is also not uncommon for cervical radiculopathy to come back at some time in the future, but again, this problem usually gets better without any specific treatment." Unfortunately, they then go on to say that the pain may take months to go away, and frequently returns.
Frequently returning pain is not my idea of a good time. Especially if there are things that can be done to prevent it. The problem is, when the medical community does recommend treatment for cervical radiculopathy, it is almost always in the form of drugs (NARCOTIC PAIN RELIEVERS, Anti-inflammatories, CORTICOSTEROID INJECTIONS, and others). While this is fine for the short term (very short term), these drugs mask the symptoms without ever really dealing with the underlying cause of those symptoms. This is probably why the recommendations from the AAOS above ---- despite saying that the pain will often go away on its own ---- also say that it frequently returns. Other recommendations are for over-the-door traction (which I strongly suggest in my practice), stretching, strengthening (also good), and even the old "Soft Collars". Be warned that the immobilization of a Soft Collar can be a double-edged sword that causes as many problems as it helps (DEGENERATION is just one of the drawbacks of long-term collar usage). There are even some doctors that actually recommend CHIROPRACTIC for taking care of these types of problems (Dr. Frank Painter comes through with his RADICULOPATHY RESEARCH PAGE).
There are three main reasons that you will be told that you developed Cervical Radiculopathy. They are Degenerative Discs, Herniated Discs, and Spinal Stenosis. Allow me to briefly touch on all three of these.
Besides that fact that Chiropractic Adjustments themselves can often help people struggling with radicular symptoms of the upper extremity (see Dr. Painter's previous link), I find that SCAR TISSUE REMODELING can be quite effective for many people as well. This is because it is quite common for people who suffer from Radiculopathy to have extremely restricted ranges of motion in their necks (common as in I saw 3 patients with this today --- one a 15 year old athlete ---- and all of them were either fixed or well on their way). This loss of motion and restriction can pull, stretch, and subsequently irritate spinal nerves. When it comes to restoring motion, breaking FASCIAL ADHESIONS, adjusting the restricted areas of the spine, and creating the proper home program for the patient (stretches, exercises, over-the-door traction, an ANTI-INFLAMMATORY DIET, etc) will either resolve or dramatically improve, most cases of Cervical / Upper Extremity Radiculopathy.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).