Radiculopathy

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
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	VZV HIV Lyme disease Sarcoidosis Neuritis such as Transverse myelitis Sacral Radiculopathy

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	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.