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Cervikalt diskbråck, cervikal radikulopati

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Definition:
Smärta, nedsatt känsel, nedsatt kraft och/eller nedsatta reflexer till följd av inklämning/irritation av en nervrot i den cervikala ryggraden.
Förekomst:
Vanligast hos kvinnor och personer i 40–60 års ålder.
Symtom:
Radikulär smärta som ofta, men inte alltid, följer ett dermatom. Ibland nedsatt kraft/känsel. 
Kliniska fynd:
Nedsatt känsel, motorisk och nedsatta reflexer kan förekomma. 
Diagnostik:
Diagnosen baseras på anamnes och kliniska fynd. Bilddiagnostik, i första hand MRT, kan användas om tillståndet inte blir bättre och om kirurgi övervägs. 
Behandling:
Smärtstillande läkemedel. Fysioterapi kan ge lindring. Kirurgi vid progression eller utebliven förbättring. 
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas

Tidigare sakkunniga

  • Max Tenne, med dr och överläkare, Ortopediska kliniken, Skånes universitetssjukhus