Cervical Radiculopathy in Korea

Cervical Radiculopathy in Korea

Overview

Cervical radiculopathy is a condition caused by compression or irritation of a nerve root in the cervical spine, leading to pain, numbness, or weakness radiating from the neck into the shoulder, arm, or hand. In Korea, advanced diagnostic imaging and orthopedic/neurosurgical care enable accurate diagnosis and effective treatment to relieve symptoms and restore function.

Symptoms

  • Neck pain radiating to the shoulder, arm, or hand
  • Numbness or tingling in the arm, hand, or fingers
  • Weakness in specific muscles controlled by the affected nerve
  • Pain worsened by neck movements, coughing, or sneezing
  • Loss of coordination or fine motor skills in the hand in severe cases

Causes

  • Herniated cervical discs pressing on nerve roots
  • Cervical spondylosis (degenerative changes)
  • Bone spurs narrowing the nerve passage
  • Spinal stenosis
  • Trauma or injury to the neck
  • Repetitive strain or poor posture

Risk Factors

  • Age-related degeneration (commonly over 40)
  • Occupations requiring repetitive neck movements or heavy lifting
  • Sedentary lifestyle or poor posture
  • History of cervical spine injury
  • Smoking, which accelerates disc degeneration
  • Genetic predisposition to spinal problems

Diagnosis

In Korea, cervical radiculopathy is diagnosed using:

  • Physical examination to assess muscle strength, reflexes, and sensory changes
  • X-rays to detect degenerative changes or alignment issues
  • MRI to visualize herniated discs, nerve compression, and soft tissue
  • CT scan for detailed bone assessment if needed
  • Electromyography (EMG) to evaluate nerve function
  • Patient history of symptom onset, duration, and aggravating factors

Prevention

  • Maintaining good posture and ergonomic workstation setup
  • Avoiding prolonged static neck positions
  • Regular neck and shoulder exercises
  • Proper lifting techniques to reduce neck strain
  • Weight management and healthy lifestyle to reduce spinal stress
  • Early evaluation of neck pain to prevent nerve damage

Treatment Options in Korea

  1. Non-Surgical Management
    • Pain relief with NSAIDs or acetaminophen
    • Physical therapy to improve posture, flexibility, and strength
    • Cervical collars or traction in selected cases
    • Activity modification and ergonomic adjustments
  2. Interventional Treatments
    • Epidural steroid injections or selective nerve root blocks for severe pain
    • Minimally invasive procedures for nerve decompression
  3. Surgical Treatment
    • Anterior cervical discectomy and fusion (ACDF)
    • Cervical disc replacement for suitable candidates
    • Posterior cervical foraminotomy to relieve nerve pressure
    • Performed at specialized Korean orthopedic and neurosurgical centers
  4. Rehabilitation
    • Post-treatment physical therapy to restore mobility and strength
    • Gradual return to daily activities and work
    • Regular follow-up to monitor nerve recovery

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