A 35-year-old man, a letter carrier, with no history of interest, who comes to the emergency department for acute cervical pain of 24 hours of evolution, without previous trauma, which radiates to the left arm up to the hand and is accompanied by paresthesia in the radial border of the forearm. She presents no objectifiable loss of strength, preserves neck mobility although it is painful and contracture of the paravertebral musculature is appreciated. The first attitude will be:
Cervicalgia without alarm signs. Conservative treatment with a success rate of 75%-90%.
Conservative treatment with nonsteroidal anti-inflammatory drugs, local heat and relative rest.
Urgent call to the neurosurgeon for surgical evaluation.
Preferential request for MRI and electromyogram.
Preferential referral to outpatient traumatology consultations.
Cervicalgia without alarm signs. Conservative treatment with a success rate of 75%-90%.