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This topic deservies its own page, as noted in Talk:Sciatica. So this is a really quick fix. I must admit that the definition (not the forms) is a cut and paste job from [1]. I don't have time to fix, but maybe this is a start.
Root4(one) 13:13, 24 March 2007 (UTC)
(re-edit) Is there a misclassification? I note from Arcadian's additions that Radiculopathy is primarily diseases of nerve roots (esp. spinal nerve roots) ... My limited research agrees. It makes me think that Carpal tunnel syndrome is not truly radiculopathy but just classified as some form of peripheral neuropathy. Possibly the same goes for Ulnar nerve entrapment, although it could be related to Cervical radiculopathy. This page may need a little cleanup. I removed CTS and UNE, we may also need to remove Piriformis syndrome as well. Root4( one) 22:39, 6 June 2007 (UTC)
I reworded the treatment section with the goal of putting the 'mainstream medicine' approaches before 'alternative' approaches.
For the record, I just got to this page via wikilink wandering (my term), but I took this liberty because even I, a non-expert, know that chiropracty (chirospractitionship (?)) is considered homeopathic. Shouldn't we always, as a rule, give precedence to mainstream medicine? I have nothing against 'chiropractorship' either, as I can often be found 'adjusting' my own neck and back.
I mostly enjoy the sound.
This text was lost under ==See also==. If proper sources can be found to support its claims, and it can be re-written without the jargon, then it can be re-inserted wherever it is appropriate:
A Radiculopathy concerns the IVF(what's this?) as mentioned above, but a radiculopathy can be different than a peripheral neuropathy. By definition a radiculopathy is a lesion at the IVF, which contains nerves from only that segment of the cord. So a peripheral neuropathy of say the ulnar/sciatic nerve contains more than one IVF level of the cord, therefore it is not a radiculopathy.
Sciatica, piriformis syndrome: are peripheral neuropathies, not radiculopathies
WhatamIdoing ( talk) 00:54, 30 April 2009 (UTC)
This revert restored what is, in my opinion, incorrect information. By definition, radiculopathy is peripheral nerve symptoms caused by nerve root irritation; referred pain is an entirely different process - one which we don't entirely understand yet. The restored text says "Radiculopathy may also manifest in an extremity through a process called referred pain, where pain is not felt in the spine at all, just in the extremity." - however, this is not correct. If the extremity pain is 'referred pain', then it is not 'radicular pain' and should not be confused with a radiculopathy. Puhlaa ( talk) 06:03, 10 June 2013 (UTC)
Here is a great source...I knew there would be one out there. I dont have access to the full text, but here is a preview of the first page. A quote: "Radicular pain differs from somatic referred pain both in mechanism and clinical features. Physiologically, it is pain evoked by ectopic discharges emanating from a dorsal root or its ganglion. Disc herniation is the most common cause, and..." Puhlaa ( talk) 04:48, 11 June 2013 (UTC)
The first sentence in the Mechanism section -- "Most often the radiculopathy found in the patients are located in the cervical spine, more along C6-C8." -- refers to a journal article that does not contribute information relevant to this topic. The article, 'Causes of Hand Tingling in Visual Display Terminal Workers,' cites as its primary results, "The causes of hand tingling in order of frequency were: myofascial pain syndrome, 68%; cervical radiculopathy, 27%; rotator cuff syndrome, 11%; tenosynovitis, 8%; and carpal tunnel syndrome, 5%." [1] That data is irrelevant to the Mechanism of radiculopathy itself. — Preceding unsigned comment added by Jtshea05 ( talk • contribs) 17:57, 28 September 2015 (UTC)
This section notes that cervical radiculopathy is less common than its lumbar counterpart, but then focuses solely on the former. There is epidemiological information available on lumbar radiculopathy, such as 'Characterization of the incidence and risk factors for the development of lumbar radiculopathy,' by Schoenfeld AJ, et al. [1] or 'Lumbosacral Radiculopathy,' by Gerard A Malanga et al. [2]. A more qualified editor should edit this section to reflect the more common form of the condition. — Preceding unsigned comment added by Jtshea05 ( talk • contribs) 18:20, 28 September 2015 (UTC)
References
Hello, we are a group of medical student’s from Queen’s University. We are working to improve this article over the next month and will posting our planned changes on this talk page. We look forward to working with the existing Wikipedia medical editing community to improve this article and share evidence. We welcome feedback and suggestions as we learn to edit. Thank you. MonStod ( talk) 20:18, 23 November 2020 (UTC)
1. We propose to insert the following sentence into the surgery subsection of the treatment section: “Regarding surgical interventions for cervical radiculopathy, the anterior cervical discectomy and fusion procedure is more commonly performed than the posterior cervical foraminotomy procedure. [1] However, both procedures are likely equally effective and without significant differences in their complication rates.” [2] Nurbach ( talk) 02:56, 1 December 2020 (UTC)
References
2. Under the Radiculopathy#Diagnosis heading, we propose to create an addition of 2 sections called Signs and Symptoms and Investigations. MonStod ( talk) 02:20, 5 December 2020 (UTC)
We propose inserting: “Cervical radiculopathy is pain that is present in one or both arms and often in the neck due to an irritation or compression of nerve roots in the cervical spine." [1] MonStod ( talk) 02:20, 5 December 2020 (UTC)
We propose to insert the following sentence into the diagnosis section to clarify there are two types of radiculopathy: "Radiculopathy can be divided into cervical and lumbar radiculopathies."
We propose to insert the following sentence in the diagnosis section:"Lumbosacral radiculopathy refers to a pathologic process involving the lumbo-sacral nerve roots causing radicular symptoms into a lower extremity." [2]
We propose to change the hyperlinks in the diagnosis section second sentense. Instead of having "distribution of" hyperlined to the wikipedia page on dermatomes and "a particular nerve root" hyperlinked to the wikipedia page on myotomes we propose a change to have only "nerve roots" hyperlined to the wikipedia nerve root article. Mcowls ( talk) 23:06, 3 December 2020 (UTC)
References
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
3. Epidemiology section improvements: We noticed that reference # 3 is a a weak journal article and the proceeding sentence is not supported by a stronger source. This is also epidemiological information, therefore, not in the correct section, so we propose to remove reference 3 and the evidence or information shared from it "Most often radiculopathy found in the patients are located in the cervical spine, most commonly affecting C6-C7 spinal nerves."
We propose to replace the first sentence under Epidemiology with the following sentence " Cervical radiculopathy has an incidence of 107.3 per 100,000 for men and 63.5 per 100,000 for women, whereas lumbar radiculopathy has a prevalence of approximately 3-5% within the population." [1] [2] Orville24 ( talk) 17:32, 4 December 2020 (UTC)
References
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
4. We propose to combine the information in the Causes and Mechanisms sections, effectively eliminating the mechanisms section. We will further support the causes section with a review article discussing the causes of cervical radiculopathy in addition to the source currently covering lumbar radiculopathy. [1]
References
{{
cite journal}}
: Check |doi=
value (
help); Check |pmid=
value (
help)
5. We propose an addition to the first paragraph of the Treatment section of the article. This addition will include the information that there is evidence that epidural corticosteroid injection has been proven to be an effective treatment for lumbar radiculopathy. The addition, which will follow the second sentence in this section (describing treatments for pain caused by radiculopathy) will read as follows: "Evidence also supports consideration of epidural steroid injection with local anesthetic in improving both pain and function in cases of lumbosacral radiculopathy." This evidence can be found in a 2016 systematic review cited below. [1]
References
6. We propose to insert the following content into the Causes and Mechanisms section: "Consistent, long term exposure (5+ years) to certain work related behaviours can put people at high risk of developing radiculopathy. These behaviours include bending over, physically demanding work, and lifting and carrying." [1] Milanamilivoj ( talk) 02:14, 7 December 2020 (UTC)
This article is rated Start-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||
|
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Radiculopathy.
|
This topic deservies its own page, as noted in Talk:Sciatica. So this is a really quick fix. I must admit that the definition (not the forms) is a cut and paste job from [1]. I don't have time to fix, but maybe this is a start.
Root4(one) 13:13, 24 March 2007 (UTC)
(re-edit) Is there a misclassification? I note from Arcadian's additions that Radiculopathy is primarily diseases of nerve roots (esp. spinal nerve roots) ... My limited research agrees. It makes me think that Carpal tunnel syndrome is not truly radiculopathy but just classified as some form of peripheral neuropathy. Possibly the same goes for Ulnar nerve entrapment, although it could be related to Cervical radiculopathy. This page may need a little cleanup. I removed CTS and UNE, we may also need to remove Piriformis syndrome as well. Root4( one) 22:39, 6 June 2007 (UTC)
I reworded the treatment section with the goal of putting the 'mainstream medicine' approaches before 'alternative' approaches.
For the record, I just got to this page via wikilink wandering (my term), but I took this liberty because even I, a non-expert, know that chiropracty (chirospractitionship (?)) is considered homeopathic. Shouldn't we always, as a rule, give precedence to mainstream medicine? I have nothing against 'chiropractorship' either, as I can often be found 'adjusting' my own neck and back.
I mostly enjoy the sound.
This text was lost under ==See also==. If proper sources can be found to support its claims, and it can be re-written without the jargon, then it can be re-inserted wherever it is appropriate:
A Radiculopathy concerns the IVF(what's this?) as mentioned above, but a radiculopathy can be different than a peripheral neuropathy. By definition a radiculopathy is a lesion at the IVF, which contains nerves from only that segment of the cord. So a peripheral neuropathy of say the ulnar/sciatic nerve contains more than one IVF level of the cord, therefore it is not a radiculopathy.
Sciatica, piriformis syndrome: are peripheral neuropathies, not radiculopathies
WhatamIdoing ( talk) 00:54, 30 April 2009 (UTC)
This revert restored what is, in my opinion, incorrect information. By definition, radiculopathy is peripheral nerve symptoms caused by nerve root irritation; referred pain is an entirely different process - one which we don't entirely understand yet. The restored text says "Radiculopathy may also manifest in an extremity through a process called referred pain, where pain is not felt in the spine at all, just in the extremity." - however, this is not correct. If the extremity pain is 'referred pain', then it is not 'radicular pain' and should not be confused with a radiculopathy. Puhlaa ( talk) 06:03, 10 June 2013 (UTC)
Here is a great source...I knew there would be one out there. I dont have access to the full text, but here is a preview of the first page. A quote: "Radicular pain differs from somatic referred pain both in mechanism and clinical features. Physiologically, it is pain evoked by ectopic discharges emanating from a dorsal root or its ganglion. Disc herniation is the most common cause, and..." Puhlaa ( talk) 04:48, 11 June 2013 (UTC)
The first sentence in the Mechanism section -- "Most often the radiculopathy found in the patients are located in the cervical spine, more along C6-C8." -- refers to a journal article that does not contribute information relevant to this topic. The article, 'Causes of Hand Tingling in Visual Display Terminal Workers,' cites as its primary results, "The causes of hand tingling in order of frequency were: myofascial pain syndrome, 68%; cervical radiculopathy, 27%; rotator cuff syndrome, 11%; tenosynovitis, 8%; and carpal tunnel syndrome, 5%." [1] That data is irrelevant to the Mechanism of radiculopathy itself. — Preceding unsigned comment added by Jtshea05 ( talk • contribs) 17:57, 28 September 2015 (UTC)
This section notes that cervical radiculopathy is less common than its lumbar counterpart, but then focuses solely on the former. There is epidemiological information available on lumbar radiculopathy, such as 'Characterization of the incidence and risk factors for the development of lumbar radiculopathy,' by Schoenfeld AJ, et al. [1] or 'Lumbosacral Radiculopathy,' by Gerard A Malanga et al. [2]. A more qualified editor should edit this section to reflect the more common form of the condition. — Preceding unsigned comment added by Jtshea05 ( talk • contribs) 18:20, 28 September 2015 (UTC)
References
Hello, we are a group of medical student’s from Queen’s University. We are working to improve this article over the next month and will posting our planned changes on this talk page. We look forward to working with the existing Wikipedia medical editing community to improve this article and share evidence. We welcome feedback and suggestions as we learn to edit. Thank you. MonStod ( talk) 20:18, 23 November 2020 (UTC)
1. We propose to insert the following sentence into the surgery subsection of the treatment section: “Regarding surgical interventions for cervical radiculopathy, the anterior cervical discectomy and fusion procedure is more commonly performed than the posterior cervical foraminotomy procedure. [1] However, both procedures are likely equally effective and without significant differences in their complication rates.” [2] Nurbach ( talk) 02:56, 1 December 2020 (UTC)
References
2. Under the Radiculopathy#Diagnosis heading, we propose to create an addition of 2 sections called Signs and Symptoms and Investigations. MonStod ( talk) 02:20, 5 December 2020 (UTC)
We propose inserting: “Cervical radiculopathy is pain that is present in one or both arms and often in the neck due to an irritation or compression of nerve roots in the cervical spine." [1] MonStod ( talk) 02:20, 5 December 2020 (UTC)
We propose to insert the following sentence into the diagnosis section to clarify there are two types of radiculopathy: "Radiculopathy can be divided into cervical and lumbar radiculopathies."
We propose to insert the following sentence in the diagnosis section:"Lumbosacral radiculopathy refers to a pathologic process involving the lumbo-sacral nerve roots causing radicular symptoms into a lower extremity." [2]
We propose to change the hyperlinks in the diagnosis section second sentense. Instead of having "distribution of" hyperlined to the wikipedia page on dermatomes and "a particular nerve root" hyperlinked to the wikipedia page on myotomes we propose a change to have only "nerve roots" hyperlined to the wikipedia nerve root article. Mcowls ( talk) 23:06, 3 December 2020 (UTC)
References
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
3. Epidemiology section improvements: We noticed that reference # 3 is a a weak journal article and the proceeding sentence is not supported by a stronger source. This is also epidemiological information, therefore, not in the correct section, so we propose to remove reference 3 and the evidence or information shared from it "Most often radiculopathy found in the patients are located in the cervical spine, most commonly affecting C6-C7 spinal nerves."
We propose to replace the first sentence under Epidemiology with the following sentence " Cervical radiculopathy has an incidence of 107.3 per 100,000 for men and 63.5 per 100,000 for women, whereas lumbar radiculopathy has a prevalence of approximately 3-5% within the population." [1] [2] Orville24 ( talk) 17:32, 4 December 2020 (UTC)
References
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
{{
cite journal}}
: Check |doi=
value (
help); External link in |doi=
(
help)
4. We propose to combine the information in the Causes and Mechanisms sections, effectively eliminating the mechanisms section. We will further support the causes section with a review article discussing the causes of cervical radiculopathy in addition to the source currently covering lumbar radiculopathy. [1]
References
{{
cite journal}}
: Check |doi=
value (
help); Check |pmid=
value (
help)
5. We propose an addition to the first paragraph of the Treatment section of the article. This addition will include the information that there is evidence that epidural corticosteroid injection has been proven to be an effective treatment for lumbar radiculopathy. The addition, which will follow the second sentence in this section (describing treatments for pain caused by radiculopathy) will read as follows: "Evidence also supports consideration of epidural steroid injection with local anesthetic in improving both pain and function in cases of lumbosacral radiculopathy." This evidence can be found in a 2016 systematic review cited below. [1]
References
6. We propose to insert the following content into the Causes and Mechanisms section: "Consistent, long term exposure (5+ years) to certain work related behaviours can put people at high risk of developing radiculopathy. These behaviours include bending over, physically demanding work, and lifting and carrying." [1] Milanamilivoj ( talk) 02:14, 7 December 2020 (UTC)