What is Radiculopathy?
Radiculopathy, commonly referred to as a pinched nerve, occurs when nerve roots extending from the spine experience compression or damage. When these nerve roots become pinched, they can become irritated and inflamed, resulting in pain, numbness, and weakness in the affected area.
Types of Radiculopathy
Radiculopathy is classified by its location in the spine:
- Lumbar radiculopathy: Affects the lower back and is the most common type. Often causes sciatica - pain that radiates from the lower back through the hip and down the leg.
- Cervical radiculopathy: Affects the neck and can cause pain, numbness, or weakness that radiates into the shoulder and arm.
- Thoracic radiculopathy: Affects the upper back. This is the least common type.
Causes
Most commonly, radiculopathy develops from changes to the tissues that surround your spinal nerve roots, including:
- Herniated discs pressing on nerve roots
- Bone spurs from osteoarthritis
- Spinal stenosis narrowing the nerve pathways
- Degenerative disc disease
- Injury or trauma to the spine
Symptoms
Symptoms vary depending on which nerve is affected:
- Sharp pain that worsens with certain movements, such as coughing or sneezing
- Radiating pain that shoots into the shoulders, arms, buttocks, or legs
- Numbness or tingling sensations
- Muscle weakness in the affected area
- Loss of reflexes
With lumbar radiculopathy, you may experience sciatica - low back pain that radiates through the hip and down the back of the leg.
Diagnosis
Dr. Lee will conduct a thorough evaluation including:
- Physical examination testing muscle strength and reflexes
- Assessment of sensation and range of motion
- X-rays or MRI scans to identify the source of nerve compression
Treatment Options
Conservative Treatment
Most cases of radiculopathy respond well to non-surgical treatment:
- Physical therapy to strengthen muscles and improve flexibility
- Lifestyle modifications and activity changes
- Anti-inflammatory medications
- Epidural steroid injections
Surgical Treatment
When conservative treatments don't provide adequate relief, surgery may be recommended to relieve pressure on the affected nerve. Dr. Lee specializes in minimally invasive techniques to reduce recovery time and improve outcomes.
