Radiculopathy

Clinic

• Radiculopathy, also 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: Degenerative disc disease, Osteoarthritis, Facet joint degeneration/hypertrophy, Ligamentous hypertrophy, Spondylolisthesis, Neoplastic disease, Epidural abscess, Spinal epidural hematoma, Proximal diabetic neuropathy, Tarlov cysts, Sarcoidosis, Arachnoiditis, Tethered spinal cord syndrome
• Neuritis such as
  • Transverse myelitis
  • Sacral Radiculopathy

Infections such as

• VZV
• HIV
• Lyme disease

Sign / Symptoms

• Pain
• Numbness / Paresthesia,
• Weakness
• Deep tendon reflexes (Stretch reflex) may be diminished or absent

Types

• 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.

Entities / Miasms

• 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