Classic Patterns of Cervical Radiculopathy
Abnormalities | |||||
---|---|---|---|---|---|
Nerve root | Interspace | Pain distribution | Motor | Sensory | Reflex |
C4
|
C3–C4
|
Lower neck, trapezius
|
NA
|
Cape distribution (i.e., lower neck and upper shoulder girdle)
|
NA
|
C5
|
C4–C5
|
Neck, shoulder, lateral arm
|
Deltoid, elbow flexion
|
Lateral arm
|
Biceps
|
C6
|
C5–C6
|
Neck, dorsal lateral (radial) arm, thumb
|
Biceps, wrist extension
|
Lateral forearm, thumb
|
Brachioradialis
|
C7
|
C6–C7
|
Neck, dorsal lateral forearm, middle finger
|
Triceps, wrist flexion
|
Dorsal forearm, long finger
|
Triceps
|
C8
|
C7-C8
|
Neck, medial forearm, ulnar digits
|
Finger flexors
|
Medial forearm, ulnar digits
|
NA
|
T1
|
C8-T1
|
Ulnar forearm
|
Finger intrinsics
|
Ulnar forearm
|
NA
|
NA = not applicable.
The nerve roots exit above their correspondingly numbered vertebral body from C2-C7. C1 exits between the occiput and atlas, and C8 exits below the C7 vertebral body.
A C4-C5 disc herniation will compress the C5 nerve root
A C5-C6 disc herniation will compress the C6 nerve root
A C6-C7 disc herniation will compress the C7 nerve root
A C7-T1 disc herniation will compress the C8 nerve root
A T1-T2 disc herniation will compress the T1 nerve root
A C5-C6 disc herniation will compress the C6 nerve root
A C6-C7 disc herniation will compress the C7 nerve root
A C7-T1 disc herniation will compress the C8 nerve root
A T1-T2 disc herniation will compress the T1 nerve root