Radiculopathy

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Clinic

  • Commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy).
  • It is a Peripheral Nervous system disease
  • It can result in Radicular pain, Weakness, Paresthesia or difficulty controlling specific muscles.
  • Radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features.

Causes

Related disease
Mechanical compression of a nerve root Dynamic causes
  • Degenerative disc disease
  • Osteoarthritis
  • Facet joint degeneration/hypertrophy
  • Ligamentous hypertrophy
  • Spondylolisthesis
  • Neoplastic disease
  • Epidural abscess
  • Spinal epidural hematoma
  • Proximal diabetic neuropathy
  • Tarlov cysts
  • Arachnoiditis
  • Tethered spinal cord syndrome
Sign / Symptoms Types Entities / Miasms
  • Pain
  • Numbness / Paresthesia,
  • Weakness
  • Deep tendon reflexes (Stretch reflex) may be diminished or absent
  • Cervical radiculopathy: Brachial plexus neuropathy (C6 and C7 nerves) affected most frequently.
  • Lumbosacral radiculopathy / Sciatica
  • Cauda equina syndrome should be investigated in case of saddle anesthesia, loss of bladder or bowel control, or leg weakness.
  • Polyradiculopathy refers to the condition where more than one spinal nerve root is affected.


Note

Here we have a big conflict, that should be explained more. Radiculopathy would be a post-node according to TLT theory since it is caused by mechanical pressure of a tumor or an abscess on nerve roots. Although we do not find a mechanical pressure in a significant number of patients. Also we find psychological modalities in common radiculopathic cases known as Sciatica, which means dynamic inflammation. That's why I prefer to divide Sciatica into Dynamic and Static cases. Static cases mostly need Agar, Arn and Hyper, depending on the form of their pain. In Dynamic cases I search for dynamic inflammation which have the above mentioned entities, which suggest HSV-1

Remedies

Cervical radiculopathy:

Numbness in Arms, Hands

Par

  • Numbness in upper limbs (Hands and Fingers
  • Pain and a feeling of weight is experienced in the neck.
  • The pain may extend from the neck down to the shoulders.
Cervical radiculopathy:

Pricking, Numbness, Weakness in Arms

Kalm

  • Pricking, numbness, and weakness in the upper limbs.
  • Tingling sensation in the upper limbs as well.
  • Pain from neck extending down to the shoulder blades or down the arms
  • Sharp and shooting pain
Radiculopathy due to Spinal Injury

Hyper

  • Tingling, burning and numbness in the limbs following trauma to the spine.

Rhus-t

  • Localized pain in the neck or lower back from radiculopathy that follows trauma or injury to the spine.
Sciatica due to Lumbar Radiculopathy

Coloc

  • When sciatica is the major complaint of lumbar radiculopathy
  • Pain from the lower back radiates down the hip to the legs
  • Pain may be drawing, tearing or cramping
  • Radiculopathy involving the lumbar region of the spine.
Radiculopathy + Sciatica + Numbness in Lower Limbs

Gnaph

  • Numbness in lower limbs accompanied by or alternate with sciatica pain. (Maybe)
  • Pain and numbness in the lower back (Maybe)
  • Lying on the back may bring some relief in back pain.