This may improve with time and training (17), but radiation of pain to the upper extremities, numbness, tingling, or weakness warrants further evaluation and may be attributable to cervical radiculopathy or cervical spinal stenosis.During a flare of axial neck pain or cervical radiculopathy, adjustments including elevation of the stem and handlebars to decrease cervical extension can be helpful in the short term in allowing a cyclist to continue to ride.As with lumbar spine pathology, directional preference assessment and postural correction are often of use.