Lumbar Radiculopathy (Pinched Nerve in the Low Back)
Radiculopathy is the medical term for a pinched or irritated nerve root. In the lumbar spine it produces sciatica-type symptoms in the leg. The most common causes are disc herniation, foraminal stenosis (narrowing where the nerve exits) and bone spurs. Identifying which nerve is involved, and why, determines the treatment.
Symptoms
- Leg pain following a nerve’s path
- Numbness or tingling in a stripe of skin
- Weakness in specific muscles
- Reduced reflexes
How it is diagnosed
Examination, MRI, and occasionally nerve conduction studies (EMG) or a diagnostic nerve root injection.
Treatment options
Without surgery
Medication, physical therapy, selective nerve root injections.
Surgical options Dr. Daggubati offers
Common questions
How is a pinched nerve different from a herniated disc?
A herniated disc is one cause of a pinched nerve; bone spurs, a narrowed foramen, or a synovial cyst can pinch the same nerve. The symptoms are similar, but the cause determines the best treatment, which is why the MRI matters.
Will the nerve recover?
Pain usually improves first, then tingling, then strength. Nerves that have been compressed for a short time recover well; long-standing severe compression can leave residual numbness even after successful decompression, which is the argument against waiting too long when there is weakness.
What if I have both back pain and leg pain?
Decompression is very effective for the leg pain. Back pain from the disc or joints themselves is treated separately, usually without surgery, unless there is instability.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.