Cervical Radiculopathy (“Pinched Nerve in the Neck”)

Understanding, Diagnosing, and Treating Nerve Pain with Precision

At SIGMA Orthopedics, we take a fighter-pilot approach to spine care: identify the exact problem, eliminate uncertainty, and deliver predictable results. If neck pain, arm numbness, or radiating nerve symptoms are disrupting your life, our evidence-based diagnostics and tailored treatments can help you recover—confidently and efficiently. Schedule an appointment or request an MRI review today.

What Is Cervical Radiculopathy?

Cervical radiculopathy—often called a “pinched nerve in the neck”—happens when a nerve root in the cervical spine becomes compressed or irritated. This can cause pain, numbness, tingling, or weakness that travels from the neck into the shoulder, arm, or hand.

At SIGMA Orthopedics & Sports Medicine, we treat cervical radiculopathy with a precision-based, minimally invasive, data-driven approach. Our goal is to identify the exact source of nerve irritation and build a personalized pathway to relief and full functional recovery.

Understanding the Anatomy: How Nerves Become Compressed

Vertebrae & Intervertebral Discs

Your cervical spine is made of seven vertebrae (C1–C7). Between each vertebra is an intervertebral disc—a shock-absorbing cushion that helps you bend and rotate. Over time, discs can bulge, herniate, or degenerate, pressing on nearby nerve roots.

Spinal Canal, Foraminal Openings & Nerve Roots

Nerves leave your spinal cord through small openings called foramina. When these openings narrow from disc collapse, arthritis, or bone spurs, the nerves can become pinched—causing radiculopathy.

Facet Joints, Ligaments & Supporting Structures

Facet joints and ligaments stabilize the spine. With age, they can thicken or develop arthritis, contributing to foraminal stenosis or nerve compression.

When any of these structures encroach on a nerve root, symptoms follow the path of that nerve—into the shoulder, upper arm, forearm, or hand.

Common Causes of Cervical Radiculopathy

Disc Herniation

A herniated disc can protrude and compress a nerve root, often causing sharp, radiating arm pain.

Degenerative Disc Disease & Arthritis

Age-related wear leads to disc height loss, bone spurs, and joint overgrowth—narrowing the space available for nerves.

Foraminal Stenosis

When the nerve’s exit channel narrows, even normal motion can irritate or compress the nerve.

Trauma or Repetitive Stress

Whiplash injuries, repetitive overhead activity, or heavy lifting can accelerate degenerative changes.

Postural or Mechanical Imbalances

Chronic forward-head posture, prolonged screen use, or muscular imbalance can overload spinal structures.

Foraminal Stenosis

When the nerve’s exit channel narrows, even normal motion can irritate or compress the nerve.

What Cervical Radiculopathy Feels Like (Symptoms)

Symptoms depend on the specific nerve root involved but commonly include:

  • Sharp or burning pain radiating from the neck into the shoulder, arm, or hand
  • Tingling, numbness, or electrical sensations
  • Grip weakness or loss of dexterity
  • Difficulty with overhead activity
  • Worsening symptoms when turning the head or looking down
  • Relief when elevating or supporting the arm

If you’re unsure whether your symptoms represent a “pinched nerve,” our team can assess and confirm this during a single visit.

Common nerve patterns:

  • C5: Shoulder pain, deltoid weakness
  • C6: Pain to thumb, wrist weakness
  • C7: Middle finger pain, triceps weakness
  • C8: Pinky-side pain, grip weakness

If symptoms progress or weakness develops, early evaluation is important.

SIGMA’s Precision Diagnostic Pathway

1. Detailed History & Neurologic Examination

We assess which movements reproduce symptoms, evaluate motor strength, test reflexes, and map sensory changes.

2. Advanced Imaging (X-ray, MRI, CT)

Imaging helps identify disc herniation, foraminal narrowing, bone spurs, or structural instability

3. Symptom–Imaging Correlation

Not everything seen on MRI causes symptoms. We only treat what matches your actual pattern.

4. Targeted Diagnostic Injections (When Needed)

Selective nerve-root injections or foraminal blocks can confirm the exact level causing pain.

This structured diagnostic process ensures accuracy, safety, and appropriate treatment—avoiding unnecessary injections or surgery.

Treatment Options at SIGMA

We tailor your recovery plan to your diagnosis, activity level, and outcome goals. Every treatment pathway follows evidence-based algorithms to maximize recovery speed and minimize recurrence.

Conservative First-Line Care

  • Anti-inflammatory medications
  • Cervical traction or decompression strategies
  • Postural restoration and ergonomic training
  • Targeted physical therapy and nerve-mobility work
  • Ultrasound-guided trigger-point relief
  • Ideal for early or mild symptoms or after acute flare-ups.

Interventional Procedures

For persistent or moderate symptoms:
  • Cervical Epidural Steroid Injections
  • Reduce inflammation around the nerve root.
  • Selective Nerve Root Blocks
  • Confirm diagnosis and deliver direct anti-inflammatory therapy.
  • Facet Joint or Medial Branch Blocks
  • Address joint-based mechanical sources of pain.
These procedures are performed with high-resolution image guidance for maximum accuracy.

Minimally Invasive Surgical Solutions

Reserved for patients with:
  • Significant nerve compression
  • Progressive weakness
  • Persistent pain despite conservative care
Options include:
  • Microsurgical decompression
  • Cervical disc replacement (motion-preserving)
  • ACDF fusion when stability is required
Our surgical philosophy prioritizes minimal tissue disruption, precision correction, and rapid return to daily life.

Your Recovery: The SIGMA 100-Day Success Pathway

Your rehabilitation is guided by a structured, data-driven roadmap that emphasizes:
  • Pain reduction and inflammation control
  • Restoration of nerve mobility
  • Strengthening of spinal stabilizers
  • Return-to-function milestones
  • Long-term prevention through ergonomics and conditioning

Every patient receives a customized recovery plan supported by digital education, remote tools, and clear checkpoints for progress.

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When to Seek Care Immediately (Red Flags)

Seek urgent evaluation if you experience:

Cervical Radiculopathy
  • Progressive weakness
  • Loss of bowel/bladder control
  • Severe unrelenting pain
  • Difficulty walking or changes in balance
  • Worsening numbness or tingling

Why Patients Choose SIGMA for Cervical Radiculopathy Care

  • Harvard-trained orthopedic sports and spine specialist
  • Precision diagnostics performed in one visit
  • Evidence-based treatment algorithms
  • Targeted interventional expertise
  • Minimally invasive surgical options when appropriate
  • Clear outcome expectations and transparent communication
  • The exclusive SIGMA 100-Day Recovery System
  • Concierge-style access and coordinated care across New York, New Jersey, and Florida

Ready to Find Relief?

Cervical radiculopathy is highly treatable when diagnosed accurately and managed with precision. Whether you’re struggling after trauma, dealing with chronic neck pain, or trying to understand what your MRI means, SIGMA is here to guide you with clarity and confidence.