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Clinical Practice
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Volume 353:392-399 July 28, 2005 Number 4
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Cervical Radiculopathy
Simon Carette, M.D., M.Phil., and Michael G. Fehlings, M.D., Ph.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 37-year-old woman presents with a two-week history of severe neck pain radiating to her left shoulder girdle and extending to the arm, forearm, and dorsum of the hand. She reports having had no fever, weight loss, leg weakness, or urinary or bowel dysfunction. Physical examination reveals weakness of her left triceps, finger extensors, and wrist flexors, as well as hypoesthesia of . . . [Full Text of this Article]

The Clinical Problem

Epidemiology

Causes and Pathophysiological Features

Strategies and Evidence

Clinical Diagnosis

Laboratory Studies

Imaging

Electrodiagnostic Studies

Treatment

            Nonsurgical Management

Surgery

Surgical vs. Nonsurgical Management

Areas of Uncertainty

Guidelines

Summary and Recommendations


Source Information

From the Divisions of Rheumatology (S.C.) and Neurosurgery (M.G.F.), Toronto Western Hospital, University Health Network; and the Departments of Medicine and Surgery, University of Toronto (S.C., M.G.F.) — all in Toronto.

Address reprint requests to Dr. Carette at Toronto Western Hospital, EW1-422, 399 Bathurst St., Toronto, ON M5T 2A8, Canada, or at simon.carette@uhn.on.ca.


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