What is the best treatment for cervical radiculopathy from degenerative disorders?
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What is the best treatment for cervical radiculopathy from degenerative disorders? EVIDENCE-BASED ANSWER: In chronic cervical radiculopathy, epidural steroid injections, medications with physical therapy, and the combination of both decreases arm and neck pain by 1 to 3 points on an 11-point scale in the first month. Combination therapy is transiently better than the individual treatments for reducing arm pain, but not neck pain (SOR: B, single RCT). In acute cervical radiculopathy, oral prednisone may reduce acute pain and disability compared with placebo over 6 weeks (SOR: C, small RCT). A cervical collar and physical therapy are minimally better in the short term for reducing acute neck and arm pain compared with no intervention, but these differences are likely not clinically relevant (SOR: B, single RCT). Surgery can also be considered for rapid relief (SOR: C, consensus guidelines).
Evidence-based practice 20, no. 1 (2017): E08-E10