Only a small percentage of patients with nerve root pain fail to recover, and require surgery. There are a number of conditions with shoulder, arm and neck pain, weakness of arm and/or hand muscles, and/or numbness of the arm or hand, that must be differentiated from cervical disc and nerve root problems.
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Implementation. 1  Do not confuse Flovent (fluticasone oral inhalation) with Flonase (fluticasone nasal spray). 2  After the desired clinical effect has been obtained, attempts should be made to decrease dose to lowest amount. 3  Intranasal: Patients also using a nasal decongestant should be given decongestant 5â15 min before corticosteroid nasal spray.