# Dystonic Tremor as an Atypical Presentation of Cervical Radiculopathy

## TL;DR

A man with neck pain developed dystonic tremor and shoulder pain due to cervical radiculopathy, which improved with chiropractic care.

## Contribution

This case report highlights an atypical presentation of cervical radiculopathy as dystonic tremor and brachialgia.

## Key findings

- Cervical disc prolapse can manifest as dystonic tremor due to severe radiculopathy.
- Chiropractic care provided significant relief for atypical symptoms of cervical radiculopathy.
- The case emphasizes the need for further research on managing such atypical presentations.

## Abstract

Cervical radiculopathy often presents with neck pain, sensory disturbances, or motor weakness. This case report describes an atypical presentation of cervical radiculopathy manifesting as dystonic tremor and brachialgia, which has been documented only once previously. A 46-year-old, right-handed, male delivery worker presented with severe neck pain that gradually evolved into a dystonic tremor and sharp aching pain across his right shoulder. Despite medical intervention, his symptoms persisted, leading him to seek chiropractic care. Physical examination and diagnostic tests revealed degenerative osteophytes, causing bilateral foraminal impingement and narrowing. As orthopedic interventions only provide temporary relief, the patient opted for conservative chiropractic management, which led to a remarkable reduction in pain and complete resolution of the dystonic tremor and brachialgia. This case demonstrates that cervical disc prolapse may manifest with dystonic tremor due to excruciating radiculopathy. Additionally, it emphasizes the potential benefits of chiropractic care in managing such atypical presentations and underscores the need for further research on the mechanisms and management of such cases.