APTA Cervial Radiculopathy
Hi Paul,
I am a massage therapist and am also someone who has suffered from severe neck and shoulder pain (not being able to lift my head off the pillow to get out of bed type of thing)
Of course Im going to advocate for massage since that is what helped me along with seeing a chiropractor. I DO NOT have cervical radiculopathy so I cannot say that I know what that feels like. I can only equate the pain I was in for a few days at a time to the possibility of feeling pain like that every day and how awful that must be!
You mentioned that you've tried massage and I just wanted to point out that in your case, it is common to not see results until you've had several MT sessions. The same goes for acupuncture. Disregard all of what Im about to write if you already have been seeing a massage therapist regularly.
The body has an amazing ability to heal itself when it can fully drop into parasympathetic nervous system mode....full relaxation mode...usually our bodies are in fight or flight mode and being in pain and feeling stress is the same to our body as being hunted down by a fierce lion. Gentle warming massage every few days would be great if you can swing it. Most important, make sure you are lying down on a massage table and not sitting up. A massage chair might be okay for quick fixes but getting the whole body massaged is the only way to really trigger that parasympathetic response. Once your body becomes used to getting into relaxation mode, it will be easier to have more work done in the targeted areas of the neck.
When you are looking for a massage therapist make sure they are familiar with your particular condition and that they are well seasoned. There are so many muscles in the neck anterior and posterior! Just in the posterior neck, the origin of the muscles are ligaments and spinous and transverse processes of the cervical spine. In the front of the neck, along with other anterior muscles are the scalenes with their origins from the C2 to C7 and attachments to the first and second ribs. As you can see there are so many muscles that can be tight and therefore affect other muscles leading to a domino effect of acting like a vice grip around the nerves of the cervical spine. A lot of people who have issues with carpal tunnel are really suffering from impinged nerves due to tight muscles. The body over time, tries to protect itself from repetitive movements and postures. One muscle tightens up and tries to compensate for the other that is being overworked or over stretched. This happens a lot when we hunch over a screen, our muscles in our chest tighten and once we are standing upright again, they stay tight because that has become the "norm" for them. Once the pecs (chest) is tight, other muscles kick in and compensate for the pecs being tight and so on and so forth...
This issue with cervical radiculopathy didn't just happen overnight or over the course of a few week. Its been years in the making. There is no way that a few massage treatments or even physical therapy will be a quick fix. It will take some time and dedication and patience....a very hard thing to have when you are in pain.
As far as nutritional stuff, well, my OPINION is that as long as you are feeling awful, you are not going to be motivated to make any significant changes and even if you did and your issue was from inflammation (and no one knows at this point, I suspect) it can take weeks or even months. I've had the challenge of dealing with chronic pain for 20 years and one of the worst things besides finding ways to deal with the pain was feeling like my "dis-ease" was my fault. If only I ate the right foods, thought the right thoughts, did more yoga, took different herbs, etc etc... The truth is when you're in it, YOU ARE IN IT and no one else can be in it with you. That means YOU and only you can make that decision. If you need to throw a bunch of pain killers to get to the massage table, do it! Im not advocating the use of drugs but it beats sitting there in pain feeling immobilized. If you feel you can change one thing at a time that helps you relax in a day or say one positive affirmation a day, do it, just do it from a gentle perspective so that the journey of healing is actually one of healing and not stress.
So, there, that's my OPINION. As a massage therapist, yoga teacher, and Reiki Master since 1998 with a couple degrees in mental health for what its worth to ya... Get your mind and your body relaxed first and foremost. Seek out a seasoned knowledgeable massage therapist and see him or her a couple times a week. Retrain your body and your muscles to relax. When muscles relax, they stop pulling on joints and ligaments etc...right now they are bearing down on your nerves, literally and figuratively.
Not sure if you've had an MRi to see if there is any degeneration of the vertebra or disks. I think knowing exactly what you are dealing with is the best defense. If the doc says you have this, he/she should be able to tell you exactly where and why. That's why they get paid the big bucks.
You are a smart guy with good people looking after you. You are doing great things for the world so make sure you do great things for yourself to get better soon.