Radium connects Highway 134 on the north to Trough Road in the south. The majority of the road is hard-packed dirt with no obstacles. However, the climb down into, or up out of, the town of Radium near Trough Road includes a short section of shelf road with blind corners and little to no room for passing. High clearance is a must, and 4WD is desirable.
Dispersed camping is limited to a checkerboard of private land, but on the southern end of the Colorado River is the Radium Recreation Area, which has a campground and boat launch.