Pinched Nerve (Cervical Radiculopathy)

Pinched Nerve (Cervical Radiculopathy): Treatment in Palm Beach

A pinched nerve in the neck, more precisely called cervical radiculopathy, occurs when a nerve root in the cervical spine is compressed or irritated, typically by a herniated disc, bone spur, or foraminal narrowing. The result is a characteristic pattern of pain, numbness, and weakness that follows the path of the affected nerve into the arm, hand, and fingers.

Dr. Ghattas's neurological training makes him uniquely suited to evaluate and treat cervical radiculopathy, combining precise nerve localization with targeted image-guided orthobiologic treatment. Contact us today to schedule a visit.

What Is Pinched Nerve (Cervical Radiculopathy)?

Each nerve root exits the cervical spine through a bony opening called the foramen. When this space narrows from disc herniation, bone spurs, or joint arthritis, the nerve becomes compressed and inflamed. The pattern of symptoms, including which fingers are numb and which muscles are weak, helps identify the specific level affected.

Signs and Symptoms

• Sharp, burning, or shooting pain from the neck into the shoulder, arm, and hand
• Numbness or tingling in specific fingers corresponding to the affected nerve root
• Arm or hand weakness
• Pain that worsens with neck extension or looking upward
• Relief in certain positions, such as placing the hand on the head (abduction relief sign)
• Neck stiffness

Common Causes and Risk Factors

• Cervical disc herniation compressing the nerve root
• Foraminal stenosis from bone spurs or disc degeneration
• Cervical facet arthritis narrowing the nerve exit
• Acute neck injury or whiplash
• Repetitive neck strain

How It Is Diagnosed

Clinical examination, including specific neurological tests and reflexes, can localize the affected nerve root level. MRI of the cervical spine confirms the structural cause and severity of nerve compression. EMG and nerve conduction studies provide objective evidence of nerve function and help differentiate cervical radiculopathy from other causes of arm symptoms.

Conventional Treatment Options

• Physical therapy with cervical traction and nerve mobilization exercises
• Oral anti-inflammatories and nerve pain medications
• Cervical epidural steroid injections for targeted nerve root inflammation relief
• Surgical discectomy and fusion or foraminotomy for severe or progressive cases

The Palm Beach Regenerative Approach

Dr. Ghattas combines his neurological precision with orthobiologic technique to address the inflammatory and structural contributors to cervical radiculopathy. Using fluoroscopic guidance, he delivers targeted platelet preparations to the affected nerve root level, reducing the inflammatory environment that amplifies nerve pain.

Structural causes of nerve compression, such as significant disc herniation or severe foraminal stenosis, are carefully evaluated. When the structural compression is the dominant driver rather than inflammation, surgical consultation is recommended honestly and directly.

The BioMod Advantage: MLS Robotic Laser Therapy applied to the cervical nerve roots and shoulder girdle reduces neurogenic inflammation and muscle spasm that amplify radiculopathy symptoms. Xymogen B-vitamin complex and nerve support protocols provide the nutritional foundation for nerve recovery, making every part of your treatment plan work together.

Like all medical procedures, orthobiologic treatments have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.