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.
|
- General, Polyneuritis: CMV
- Polyradiculitis: ORBV
- Ascending Polyradiculitis: MMP
- Back, Radiculopathy, Sacral: HSV-1, HSV-2
- Ext, Neuritis, Brachial: CMV, CXA, CXB, EBV, B19, COV-19, VZV, WNE
- Reflexes, Hypo reflexia: EEE/ WEE, GSS, HCV, HSV-1, PLV, SAHF
|
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
|
|
- 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
|
|
- 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
|
|
- Tingling, burning and numbness in the limbs following trauma to the spine.
|
|
- Localized pain in the neck or lower back from radiculopathy that follows trauma or injury to the spine.
|
Sciatica due to Lumbar Radiculopathy
|
|
- 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
|
|
- 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.
|