Nerve Root Compression/Radiculopathy (2*)

Question 1

How does it present?

Which clincal feature would suggest cord compression?

What are its causes?

Answer 1

➊ • Pain along dermatome
• Numbness
• LMN signs - Weakness, Reduced reflexes, Wasting (if left untreated)

➋ UMN signs below the level of the affected root

➌ • Mechanical compression - Disk herniation (most common), OA, Tumour
• Other - Diabetic neuropathy, Shingles, HIV

Question 2

What are the investigations to do?

How is it managed?

Answer 2

➊ • History and examination
• MRI - check for mechanical causes

➋ • Analgesia
• Treat underlying cause