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Cervical Radiculopathy (Pinched Nerve in the Neck) – Bromley Sports Injury Clinic

Key Points

  • Cervical radiculopathy occurs when a nerve root in the neck is compressed or irritated, often by a disc problem or arthritis.

  • Symptoms include neck pain, tingling, numbness, and weakness radiating into the arm or hand.

  • It is often confused with shoulder, elbow, or wrist problems such as carpal tunnel syndrome.

  • At Bromley Sports Injury Clinic, we provide expert assessment and treatment to relieve symptoms and guide safe recovery.

👉 Related: Shoulder Impingement | Carpal Tunnel Syndrome | Tennis Elbow

What is Cervical Radiculopathy?

The cervical spine (neck) has seven vertebrae, separated by discs and surrounded by joints, ligaments, and muscles.

Cervical radiculopathy happens when a nerve root becomes compressed or irritated, usually due to:

  • Disc herniation (slipped disc)

  • Degenerative changes / arthritis narrowing the nerve passage

  • Bone spurs

  • Trauma or injury

This irritation disrupts the nerve signals, producing pain and neurological symptoms down the arm.

Symptoms of Cervical Radiculopathy

  • Pain radiating from the neck into the shoulder, arm, or hand

  • Tingling, pins and needles, or numbness in the arm/fingers

  • Muscle weakness in the arm or hand

  • Reduced grip strength

  • Neck stiffness or restricted movement

  • Symptoms worsen with certain neck positions (looking up, turning head)

Causes & Risk Factors

  • Disc herniation (more common under 50)

  • Arthritis/spondylosis narrowing the foramen (more common over 50)

  • Poor posture (desk-based work, forward head position)

  • Repetitive strain or heavy lifting

  • Whiplash or previous neck injury

  • Metabolic health issues (diabetes, thyroid) affecting nerve health

Diagnosis of Cervical Radiculopathy

At Bromley Sports Injury Clinic, diagnosis may include:

  • Osteopathic assessment – movement testing, neurological checks, muscle strength, reflexes

  • Clinical provocation tests – e.g. Spurling’s test, nerve tension testing

  • Referral – MRI or nerve conduction studies if symptoms are severe, persistent, or red flags are present

  • Blood tests – sometimes used to explore underlying contributors like diabetes or thyroid issues

Self-Help for Cervical Radiculopathy

  • Avoid positions that worsen nerve compression (e.g. prolonged looking up or carrying heavy weights on shoulders)

  • Use ergonomic supports (desk adjustments, monitor height, supportive pillows)

  • Gentle mobility and posture exercises

  • Heat or ice for symptom relief

  • Short rest breaks from desk work or phone use

Treatment Options at Bromley Sports Injury Clinic

✅ Osteopathic care – mobilisation of the cervical spine and surrounding joints to reduce pressure on nerves
✅ Exercise rehabilitation – posture correction, deep neck flexor strengthening, nerve mobility exercises
✅ Sports massage – soft tissue release for neck, shoulder, and upper back muscles
✅ Blood testing – screens for systemic contributors to nerve recovery
✅ Referral pathways – MRI, nerve conduction testing, or specialist input when indicated

Prevention

  • Maintain upright posture at work and on devices

  • Strengthen postural muscles (neck, shoulders, upper back)

  • Avoid prolonged static positions without breaks

  • Vary positions when sitting or working

  • Address early neck stiffness before it worsens

FAQs – Cervical Radiculopathy

Q: Is a pinched nerve the same as radiculopathy?
Yes. Radiculopathy simply means a nerve root in the spine is compressed or irritated.

Q: Do I always need an MRI?
Not always. Many cases can be diagnosed with clinical assessment. MRI is used if symptoms persist or are severe.

Q: Can it get better without surgery?
Yes. Many patients improve with conservative care such as osteopathy, exercise, and posture correction.

Q: Why might blood tests be relevant?
Because conditions like diabetes and thyroid problems can affect nerve health and slow recovery.

Book Your Appointment

Don’t let neck and nerve pain limit your daily life. Book your cervical radiculopathy assessment in Bromley today for expert diagnosis, tailored treatment, and referral if required.

📍 Bromley Sports Injury Clinic | Same-week appointments available

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Reviewed by: Geoff Gardener, Registered Osteopath (GOsC 8289) — Director, Bromley Sports Injury Clinic
Credentials: Osteopath · ECG Technician · Advanced DSE Assessor · Manual Handling Trainer · Phlebotomist
Regulatory information: CQC Provider — Colmore Health Limited (ID: 1-18387136912)
Last medically reviewed: 03 October 2025
Next review due: 03 April 2026
About Geoff · Editorial Policy · Report an issue

Clinical content is written and peer-reviewed by our clinicians. Care pathways may include musculoskeletal ultrasound, rehabilitation, blood tests, or onward referral where appropriate.

Bromley Sports Injury Clinic is a trading name of Colmore Health Limited, a company registered in England and Wales (Company No.10522958), registered with the Care Quality Commission (CQC) and the Information Commissioner's Office (ICO).

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