Conservative management
Physiotherapy, postural coaching, ergonomic adjustments, and medication form the first line. We emphasise cervical stabilisation, scapular strengthening, and habit change.
Spine & Nerve Clinic · Hyderabad
Cervical Radiculopathy Treatment in Hyderabad
Neck pain radiating into the arm, tingling fingers, or weak grip may signal cervical radiculopathy. We offer a conservative-first approach, escalating to minimally invasive or motion-preserving surgery only when necessary.
Symptoms to watch for
- • Sharp or burning pain from neck into shoulder and arm
- • Numbness or tingling in fingers
- • Weak grip or difficulty lifting objects
- • Symptoms that worsen with neck extension or rotation
- • Cervicogenic headaches and reduced balance in severe cases
Seek emergency care immediately for sudden weakness, loss of bowel or bladder control, or difficulty walking—these may indicate spinal cord compression.
Common causes
- • Degenerative disc disease and disc herniation
- • Foraminal stenosis narrowing nerve exit pathways
- • Postural strain (“tech neck”) leading to chronic inflammation
- • Traumatic injuries such as whiplash
- • Less commonly: tumours, infections, or congenital anomalies
Diagnostic pathway at Yashoda Hospital, Malakpet
- Clinical examination including Spurling test, reflexes, and strength grading.
- MRI cervical spine to identify disc herniation, stenosis, or cord compression.
- Nerve conduction / EMG studies when symptoms overlap with peripheral neuropathy.
- Dynamic X-rays to assess instability when surgery is considered.
- Collaborative review with pain specialists and physiotherapists.
Treatment options
Image-guided injections
Selective nerve root blocks or epidural steroids offer diagnostic clarity and bridging relief while rehabilitation progresses.
Endoscopic foraminotomy & ULBD
Through 8 mm incisions, we remove bone spurs or disc fragments to decompress nerves while preserving motion. Most patients return to desk work within two weeks.
Fusion or disc replacement
ACDF stabilises the spine when instability exists. Disc replacement maintains motion in selected patients. Navigation and neuromonitoring guide precise implant placement.
Recovery roadmap
Return to activity
Desk work generally resumes within 1–2 weeks after minimally invasive procedures; manual labour requires staged clearance.
Physiotherapy milestones
Structured rehab begins within days to rebuild strength and prevent recurrence. We review progress at 2, 6, and 12 weeks.
Lifestyle coaching
Ergonomics, sleep, and stress management strategies keep symptoms controlled long term.
Frequently Asked Questions
Does every cervical radiculopathy need surgery?
No. Up to 80% of cases improve with physiotherapy, medication, and posture correction. Surgery is reserved for persistent pain, progressive weakness, or severe compression on imaging.
How soon can I return to work after endoscopic foraminotomy?
Most patients resume light duties in one to two weeks and return to full activity by six weeks, provided rehabilitation milestones are met.
Is fusion always required?
Fusion (ACDF) is necessary when instability, multi-level degeneration, or recurrent herniation exists. Whenever feasible, we prioritise motion-preserving options such as endoscopic foraminotomy or disc replacement.
Can cervical radiculopathy cause headaches?
Yes. Cervicogenic headaches and occipital neuralgia often stem from upper cervical nerve irritation. Addressing the root cause typically relieves head pain.
What happens if I ignore symptoms?
Untreated compression can lead to chronic pain, permanent numbness, or weakness. Early assessment helps prevent long-term nerve damage.
Dr. Sayuj Krishnan, Neurosurgeon
Room 317, OPD Block, Yashoda Hospital, Malakpet, Hyderabad, Telangana 500036
Phone: +91 9778280044 · Email: neurospinehyd@drsayuj.com
Authored by: Dr. Sayuj Krishnan S, Neurosurgeon
Reviewed by: Dr. Sayuj Krishnan S, Board Certified Neurosurgeon
Last reviewed: 14 February 2025
Disclaimer: This content is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.