Lumbar Radiculopathy
Back pain is a common condition affecting approximately 80% of the population at some point in their lives. The area usually affected is the lower back (lumbar region) as it bears most of the upper body’s weight. The lumbar region of the spine (below the rib cage) consists of 5 vertebrae. Nerves of the spinal cord in this region communicate with the lower body through spaces between the vertebrae. Pain in the lower back may sometimes radiate to the legs. This is referred to as lumbar radiculopathy or sciatica. Lumbar radiculopathy can be extremely debilitating and interfere with daily activities.
Causes
- Trauma to the spine
- Age and
- Overuse
These conditions can result in deterioration of the vertebral bones and joints or bulging of the disks. The resultant loss of space can lead to compression of the spinal nerve roots. Depending on the area being supplied by the nerve, symptoms are experienced in the lower extremities.
Symptoms
Common symptoms include:
- Back pain
- Sharp or burning pain that travels down one leg (leg pain may occasionally occur without the back pain)
- Numbness
- Tingling and muscle weakness. A thorough evaluation is necessary to identify your spine as the actual source of your pain.
Diagnosis
- History and physical examination.
- Imaging studies – xray, MRI or Cat scan
Treatment
Depending on the severity of the condition, treatment may be conservative or require surgery. A specific treatment plan is formulated to effectively relieve your symptoms and ensure a quick return to your regular activities.
Conservative treatment may include:
- Rest
- Activity Limitation
- Anti-inflammatory Medications
- Spinal Manipulation
- Spinal Injections
- Physical Therapy
- Home Exercises
- Other modalities.
If symptoms are severe or persistent surgery may be recommended.
Surgery may be recommended if symptoms persist depending on the severity of the symptoms.