What is the initial nonoperative management for uncomplicated cervical radiculopathy?

• A. Short course of NSAIDs, activity modification, and physical therapy
• B. Prolonged bed rest
• C. Immediate surgery
• D. Epidural steroid injection

Answer: (A)

Uncomplicated cervical radiculopathy often improves with conservative care that targets pain, reduces nerve irritation, and maintains neck function while healing occurs. A short course of NSAIDs helps decrease inflammation around the irritated nerve root and control pain. Pairing that with activity modification prevents positions or tasks that worsen symptoms, allowing the nerve to recover without excess stress. Guided physical therapy then builds neck and scapular strength, improves range of motion, and promotes better posture, all of which reduce mechanical load on the cervical nerve root and support long-term function. This approach addresses the body's natural healing process and avoids the risks of surgery, which is why it’s the preferred initial management for uncomplicated cases. If symptoms persist or worsen, or if red flags appear, further evaluation and treatments (such as imaging or injections) may be considered, but those are not first-line for uncomplicated radiculopathy.