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neck pain cervical disc herniation and cervical radiculopathy cervical disc herniation occurs most frequently at c6 c7 also can occur at c5 c6 the patient will complain of neck pain due to nerve root irritation with the pain radiating to the ipsilateral upper extremity the patient may complain of numbness paresthesia and weakness coughing sneezing and neck movements make the pain worse careful examination of the patient is important each nerve involved will show its effect on the motor power and on the sensation and reflexes so if you have a c3 c4 balls that will affect c4 nerve root that will give you some sensory deficit around the shoulder area as seen in the diagram their friend is supplied largely by c4 so it could affect the respiratory system if you have a c4 c5 disc bulge it can affect c5 nerve root and this will affect sensation around the shoulder area also the c5 will affect the biceps reflex because the biceps reflex is primarily is c5 as regards the motor the c5 will affe