By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Neck pain? Stiff neck? These could be signs of cervical radiculopathy caused by a pinched nerve in neck. Acupuncture and TCM can provide neck pain relief and address the underlying causes of cervical radiculopathy.
Cervical radiculopathy occurs when a nerve in the neck becomes compressed or irritated where it branches away from the spinal cord. This is often referred to as a “pinched nerve.” This condition can lead to neck pain, weakness, and other symptoms not only in the neck but radiating into the arms and hands as well.
Cervical radiculopathy can be caused by several different factors, most of which involve some form of nerve compression in the neck.
One of the most common causes is a herniated disc, also known as a slipped disc in neck, or bulging disc in neck. This happens when the gel-like center of a spinal disc pushes out through a crack in the tougher exterior, putting pressure on a nearby nerve root. This can happen due to injury or degeneration over time.
Cervical spondylosis, also known as neck arthritis or cervical osteoarthritis, is a common age-related condition that affects the joints and discs in your neck. As the discs and cartilage between the cervical vertebrae wear down, this can cause neck pain and stiffness.
Degenerative disc disease and osteoarthritis are also common causes of a pinched nerve in neck. As we age, the spinal discs lose water content and shrink, leading to decreased cushioning between the vertebrae. This can cause the bones to rub against each other and lead to the formation of bone spurs, which can press on nerves and cause radiculopathy.
Another potential cause is spinal stenosis, which is the narrowing of the spaces within the spine. This can result from a variety of factors, including thickened ligaments or overgrown bones, and leads to pinching or compression of the nerve roots as they exit the spinal column.
Additionally, trauma or injury to the neck, such as from car accidents or sports injuries, can directly damage the vertebrae or discs and result in a pinched nerve.
In more rare cases, tumors or infections in the spine may also cause cervical radiculopathy by compressing nerve roots.
Top 5 Symptoms of Cervical Radiculopathy
Pain in the neck and shoulders and headache are the most common symptoms associated with cervical radiculopathy. Poor reflexes and muscle weakness can also occur with a pinched nerve in the neck.
- Neck and shoulder pain – sharp or burning pain that starts in the neck and may radiate down the shoulder, arm, and hand
- Neck Stiffness – difficulty turning or moving the neck, neck muscle pain, muscle spasm in neck
- Numbness or Tingling in the shoulder, arms, or hands due to nerve compression.
- Muscle weakness in the arms or hands, trouble gripping or lifting objects.
- Neck pain and headache, headache that starts with neck pain
Diagnosis and Treatment for Cervical Radiculopathy
Diagnosing cervical radiculopathy can be challenging because its symptoms—such as neck pain, numbness, or tingling radiating down the arm—can overlap with other conditions like muscle strain, carpal tunnel syndrome, or even heart problems.
The complexity of nerve pathways makes it difficult to pinpoint the exact location and cause of nerve compression based on symptoms alone. The pain can vary in intensity, and some patients may not experience obvious arm symptoms, leading to confusion in initial assessments.
Western medicine typically relies on a combination of clinical evaluation and diagnostic imaging to confirm cervical radiculopathy.
During the clinical evaluation, a doctor will perform a physical examination, testing the strength, reflexes, and range of motion in the neck and arms. A Spurling’s test, where the head is turned and pressure is applied to the top of the head, may be used to reproduce symptoms and help localize the nerve root affected.
To confirm the diagnosis, imaging studies such as X-rays, CT scans, or MRIs are often used to visualize the spine and detect any structural issues, like herniated discs or bone spurs, that could be compressing the nerve roots. An electromyography (EMG) or nerve conduction study may also be performed to assess how well the nerves are functioning and to rule out other conditions affecting nerve function.
Conventional treatments for cervical radiculopathy, or treating a pinched nerve, generally focus on reducing pain, managing inflammation, and restoring normal function.
NSAID medications like ibuprofen or naproxen are usually recommended to reduce pain and inflammation around the pinched nerve. Corticosteroid injections may be used to reduce inflammation around the nerve root and offer temporary relief. Muscle relaxers may be prescribed to ease muscle spasms and reduce pressure on the pinched nerve.
Physical therapy exercises designed to improve neck mobility and strengthen supporting muscles, can potentially help relieve nerve compression. Using cervical traction devices to gently stretch the neck and reduce pressure on the affected nerve may be helpful in some cases.
In severe cases where non-surgical treatments don’t work, surgical options may be recommended to relieve pressure on the nerve by removing or repairing the affected disc or vertebra.
Acupuncture can be an effective modality for treating neck pain and stiffness due to cervical radiculopathy, without the unwanted side effects of taking pain medications and muscle relaxants.
Can Acupuncture Help Cervical Radiculopathy?
Acupuncture offers an alternative for patients suffering from neck pain who want to avoid surgery and the side effects of medication. Acupuncture treatment stimulates the body’s natural healing processes and alleviates pain by influencing the nervous system, reducing inflammation, and improving blood circulation to affected areas.
Acupuncture functions in multiple ways to help relieve nerve compression pain. It can help reduce swelling, or edema, that contribute to nerve compression. It also helps to relax muscle spasms. Acupuncture helps to increase blood flow to nerve roots.
Studies have shown that acupuncture can yield favorable outcomes, often comparable to conventional drug therapies. For instance, one randomized clinical trial found that acupuncture provided similar pain relief to drug therapy, making it a viable, safer alternative for pain management in cervical radiculopathy patients.
Additionally, some research has demonstrated the benefits of combining acupuncture with other conservative treatments, like cervical manipulations, to enhance therapeutic outcomes. In clinical trials, this combination has proven effective in reducing pain and improving mobility.
Acupuncture, used to complement other modalities, can be used as a valuable tool in the management of cervical radiculopathy, offering an effective, low-risk option to relieve pain and restore better mobility.
One case study of a patient with a C6/7 disc prolapse and radiculopathy showed that over a course of six acupuncture sessions administered within four weeks, significant improvements were observed in both pain and range of motion. Pain levels dropped from 8/10 to 2/10.
Acupuncture Near Me for Cervical Radiculopathy in West L.A.
At Art of Wellness Acupuncture and TCM in West Los Angeles, we have over 35 years of experience helping people find relief from all types of pain conditions related to nerve compression and neck pain, including herniated disks, spinal stenosis, cervical spondylosis, and cervical radiculopathy. Dr. Tan and Dr. Cai provide specialized care for each individual patient, including herbal remedies, therapeutic Chinese massage, and electroacupuncture to help relieve pain.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
