A Blog for Older Adults

Physical Therapy for Cervical Radiculopathy in Oregon

Written by Dr. Raj Pusuluri, PT, DPT | Jul 10, 2025 3:53:17 PM

Cervical radiculopathy is a big word, but the problem it causes is easy to understand. It means there is a pinched nerve in the neck. This pinched nerve can make your neck hurt. It can also cause pain, tingling, or weakness in your shoulder, arm, or hand. Some people feel like their arm is numb or heavy.

This condition can happen when a disc in your neck slips out of place. It can also happen if your bones or joints get older and worn out. People who work at desks, lift heavy things, or sit in bad posture for a long time can get it.

Cervical radiculopathy matters because it can make it hard to do simple things. You might not be able to turn your head without pain. Holding a phone, typing, or even sleeping can become very hard. That is why it is important to treat it the right way and not wait too long.

One of the best ways to feel better is through physical therapy for cervical radiculopathy. A physical therapist can teach you how to move safely, stretch tight muscles, and make weak areas stronger. You do not need to take strong pills or go for surgery in many cases. Therapy helps your body heal in a natural way.

If you are in Oregon, and especially around Salem, you can visit Dr Raj from HWY Physical Therapy at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 (Call 971-202-1979). He offers help for people with neck nerve pain, using gentle and safe treatments.

Understanding Cervical Radiculopathy

What Causes Cervical Radiculopathy? (Herniated Discs, Degeneration, Trauma)

Your neck is made of small bones called vertebrae. Between these bones are soft discs that help your neck move and bend. Sometimes, one of these discs slips out or gets damaged. This is called a herniated disc. When that happens, it can press on a nerve that runs from your neck down your arm.

This is one common cause of cervical radiculopathy.

As we get older, our bones and discs can also start to wear down. This is called degeneration. The space between the bones becomes smaller, and the nerve can get squeezed. That’s another way neck nerve pain can start.

Some people hurt their necks from an accident, fall, or sports injury. This trauma can also lead to a pinched nerve in the neck.

Common Symptoms: From Neck Pain to Tingling in the Arms

The most common sign of cervical radiculopathy is pain that starts in the neck and moves down to the shoulder, arm, or fingers. The pain may be sharp, burning, or feel like electric shocks.

You may also feel:

  • Tingling or numbness in your hand or fingers
  • Weakness in your arm or shoulder
  • Trouble turning your head or looking up

Sometimes, you feel the pain more in your arm than your neck. This can make it hard to know where the problem is. But it all starts with a pinched nerve in the neck.

If the problem is not treated, it can get worse over time. That’s why it’s important to learn how physical therapy for cervical radiculopathy can help you feel better and move better.

Diagnosis: Getting the Right Help

How Cervical Radiculopathy Is Diagnosed

To treat cervical radiculopathy the right way, the first step is knowing for sure that the nerve is pinched. A doctor or physical therapist will ask questions about your pain. They may ask where the pain goes, what makes it worse, and how long you’ve had it.

Then, they will check how your neck and arms move. They may gently press or move your head to see if it causes pain in your arm or hand. This helps them find out which nerve might be affected.

Sometimes, you may need tests like an MRI or X-ray to look inside your neck. These tests show if you have a herniated disc, bone spurs, or other changes that may be pressing on the nerve.

But often, a trained therapist can tell what’s wrong just by doing a careful check of your movement, strength, and posture.

Importance of Early Detection for Better Outcomes

It is important to find the problem early. If cervical radiculopathy is left alone, it can cause long-term pain or even loss of strength. You may stop using your arm as much, and muscles can get weak.

Early physical therapy for cervical radiculopathy can help fix the problem before it gets worse. Therapy helps reduce pressure on the nerve and teaches you how to move in a way that keeps your neck safe.

The sooner you get help, the faster you can get back to your normal life — without pain or fear of making it worse.

Why Physical Therapy Is the First Line of Treatment

Benefits of Physical Therapy for Cervical Radiculopathy

Physical therapy for cervical radiculopathy is one of the best ways to feel better without needing surgery or strong medicine. A physical therapist knows how to help your neck heal gently and safely.

Therapy helps:

  • Reduce pain in your neck, shoulder, and arm
  • Loosen tight muscles and joints
  • Make weak muscles stronger
  • Improve posture and the way you move
  • Stop the nerve from getting more irritated

When you do the right exercises, your neck gets stronger and your nerve gets more space. This takes pressure off the nerve and helps it work better.

Many people feel better in just a few weeks with regular therapy. It also helps stop the problem from coming back later.

Avoiding Surgery Through Conservative Care

Sometimes people think they need surgery to fix a pinched nerve in the neck. But most people can get better without it. Physical therapy for cervical radiculopathy is a safe choice and has fewer risks.

Surgery can be costly and take a long time to heal. Therapy lets you heal while still doing your normal daily life. You also learn new ways to move that protect your neck in the future.

If you get care early and stick with your plan, you may never need surgery at all.

Best Physical Therapy Techniques for Cervical Radiculopathy

Manual Therapy and Soft Tissue Mobilization

One helpful way to treat cervical radiculopathy is through manual therapy. This means the therapist uses their hands to move your neck and muscles. It helps loosen stiff areas and improve blood flow.

Soft tissue mobilization is gentle massage around your neck and shoulder. This helps reduce tightness and lets your muscles relax. It can also ease pain and make movement easier.

Postural Correction and Ergonomics Training

Bad posture can make neck nerve pain worse. If you sit with your head forward or slouch your shoulders, the nerves in your neck can get more pressure.

Your therapist will show you how to sit, stand, and move with better posture. They may also teach you how to set up your work desk at home or at the office.

Simple changes like:

  • Keeping your screen at eye level
  • Using a chair with back support
  • Holding your phone at the right height

can help reduce stress on your neck and make healing faster.

Targeted Neck and Shoulder Exercises for Nerve Relief

Exercises are a big part of physical therapy for cervical radiculopathy. These are not hard workouts. They are slow and gentle moves that help your neck and shoulder get strong again.

Some common exercises include:

  • Chin tucks
  • Shoulder rolls
  • Arm slides on a wall
  • Neck stretches

These help create space around the nerve and build strength to support your neck.

Traction Therapy: What It Is and When It Helps

Traction is a special kind of treatment where your neck is gently stretched. This helps open up the space between the bones and can take pressure off the nerve.

You might lie on your back while a machine or the therapist applies a soft pull on your neck. It does not hurt and can feel very relaxing.

Traction is not for everyone, but some people get a lot of relief from it — especially if the pain shoots down their arm.

Pain Management Modalities (Ultrasound, TENS, Ice/Heat)

To help you feel better during therapy, your physical therapist may use special tools. These tools do not fix the nerve, but they help manage pain and make therapy easier.

Some options include:

  • TENS unit: Sends small signals to reduce pain
  • Ultrasound therapy: Sends heat deep into the muscles
  • Ice or heat packs: Used before or after sessions to relax the area

These can make you more comfortable so you can move better during your exercises.

At-Home Exercises and Stretches for Lasting Relief

Top 5 Safe and Effective Neck Exercises You Can Do Daily

Doing gentle neck exercises at home can help you feel better faster. These moves are easy and safe if done the right way. They help take pressure off the nerve and make your neck muscles stronger.

Here are some common exercises for cervical radiculopathy:

  1. Chin tucks – Sit or stand tall. Gently pull your chin back like you're making a double chin. This helps straighten your neck and gives the nerve more space.
  2. Shoulder blade squeezes – Sit up straight. Squeeze your shoulder blades together and hold for a few seconds. This helps fix posture and strengthens your upper back.
  3. Neck side bends (gentle stretch) – Tilt your head toward one shoulder, hold for a few seconds, then do the other side. Go slowly and stop if you feel pain.
  4. Wall angels – Stand with your back against a wall. Slowly raise and lower your arms like you're making a snow angel. Keep your back and arms touching the wall.
  5. Arm slides on a table – Sit at a table. Slide one arm forward and then back. This helps stretch your arm and shoulder without hurting your neck.

Do these exercises once or twice a day, unless your therapist tells you something different.

When to Exercise and When to Rest

Even though movement helps, there are times when rest is also needed. If your pain is sharp, spreading fast, or getting worse, it’s okay to take a break for the day.

You should avoid:

  • Lifting heavy objects
  • Looking down at your phone for too long
  • Sleeping without neck support

It’s important to listen to your body. Gentle movement helps healing, but overdoing it can slow recovery.

If you're ever unsure, talk with your physical therapist. They will guide you on how much is safe and how often to do your home routine.

Choosing the Right Clinic for Cervical Radiculopathy Treatment

What to Look for in a Physical Therapy Clinic in Portland, Eugene, Salem, Gresham, and Hillsboro

Finding the right place for physical therapy for cervical radiculopathy is important. Not all clinics are the same. You want a clinic that understands neck nerve pain and knows how to treat it gently and safely.

Here are some things to look for:

  • The clinic should have licensed physical therapists with experience in treating pinched nerves in the neck
  • They should offer one-on-one care, not just group sessions
  • The clinic should listen to your story, check your movement, and make a plan just for you
  • It should feel calm, clean, and easy to talk with the staff

Some clinics may also offer tools like traction, TENS, or ultrasound. These extras can help manage pain while you heal.

If you're in Salem, you can visit Dr Raj from HWY Physical Therapy, located at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 (Call 971-202-1979). He provides personal care for people with cervical radiculopathy and helps them move better without pain.

Questions to Ask Your Physical Therapist

When you visit a new therapist, it’s okay to ask questions. This helps you feel sure you are in good hands.

Some helpful questions:

  • Have you treated people with cervical radiculopathy before?
  • How long will my therapy take?
  • What exercises will I need to do at home?
  • Will I get hands-on care or just be told to exercise on my own?

A good therapist will answer clearly and kindly. They will guide you step by step through your healing journey.

Prevention Tips: Keep Your Neck Healthy

Workstation Ergonomics and Neck Support Tips

One of the best ways to prevent cervical radiculopathy is to take care of your neck every day, especially if you sit for long hours. Poor posture can slowly put stress on your neck and lead to a pinched nerve.

Here are simple changes you can make:

  • Keep your computer screen at eye level, so you don’t look down
  • Sit up straight with your shoulders relaxed
  • Use a chair with good back and neck support
  • Take short breaks every 30–45 minutes to stretch and move
  • Hold your phone at eye level to avoid bending your neck too much

These small steps can protect your neck from long-term problems.

Daily Habits to Prevent Cervical Nerve Irritation

Healthy habits at home and work can also help your neck stay strong and flexible. Even after you feel better, keep doing what your therapist taught you.

Tips for a healthy neck:

  • Sleep with a pillow that supports your neck’s natural curve
  • Avoid carrying heavy bags on one shoulder
  • Do gentle neck and shoulder stretches every day
  • Keep your back and neck straight when lifting anything

By keeping your muscles strong and your posture good, you can lower your risk of cervical radiculopathy returning.

Frequently Asked Questions (FAQs)

Can Cervical Radiculopathy Heal Without Surgery?

Yes, most people with cervical radiculopathy get better without surgery. With rest, gentle movement, and physical therapy, the nerve can heal over time. Therapy helps reduce pressure, improve posture, and make your muscles strong again.

How Long Does It Take to See Results from PT?

Many people feel better after just a few weeks of physical therapy for cervical radiculopathy. For others, it may take a little longer. It depends on how bad the nerve is pinched and how well you follow your therapy plan. Being patient and doing your exercises every day helps you heal faster.

Is It Safe to Exercise with Nerve Pain?

Yes, but you need to do the right kind of exercises. Your therapist will show you safe moves that do not hurt your neck. These exercises help your body heal and stop the pain from spreading. You should never do any exercise that makes your pain worse.

Can Physical Therapy Make It Worse?

Not when it’s done the right way. Good physical therapy for cervical radiculopathy is gentle and planned just for you. If something feels wrong, tell your therapist right away. They will change your plan to make sure it helps, not hurts.

Conclusion

Cervical radiculopathy can make simple things like turning your head or using your arm feel hard and painful. But you don’t have to live with that pain. With the right care and a good plan, you can get back to doing the things you love.

Physical therapy for cervical radiculopathy is a safe and natural way to heal. It helps your body feel better without needing surgery or strong medicine. A therapist will guide you through gentle movements, exercises, and changes in posture that make a big difference.

Whether you're in Salem, Portland, Eugene, Gresham, or Hillsboro, don’t wait for the pain to get worse. Start your journey to better movement and comfort now.

Topics to Read Further

If you want to learn more about how to care for your neck and avoid long-term pain, here are some helpful topics to search on Google:

These topics can help you understand your condition better and make smarter choices for your health.

Contact HWY PT for Expert Advice and Support

Ready to feel better and move without pain? At HWY Physical Therapy, we understand how cervical radiculopathy can affect your daily life. Our caring team is here to help you heal with safe and gentle treatments that work.

If you're in Salem or nearby areas like Portland, Eugene, Gresham, or Hillsboro, don’t wait. Let us guide you back to comfort and strength.

Call 971-202-1979 or visit Dr Raj at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 to schedule your appointment today.

Your path to a pain-free life starts here.