Radiculopathy (Pinched Nerve)
Radiculopathy occurs when a nerve in the spine becomes compressed or irritated, often due to a herniated disc, bone spur, or narrowing of the spinal canal. This compression can cause pain, numbness, tingling, or weakness that radiates along the path of the affected nerve, commonly impacting the neck, arms, lower back, or legs depending on the location. When nerves in the lower spine are affected, symptoms often travel down the leg, a condition sometimes referred to as sciatica.
Common Symptoms
- Sharp or burning pain radiating from the spine to the arms or legs
- Numbness, tingling, or weakness in the extremities
- Pain that worsens with certain movements, such as bending, twisting, or lifting
- Difficulty performing daily activities due to discomfort or limited mobility
Why It Happens
Radiculopathy can result from herniated discs, spinal stenosis (narrowing of the spinal canal), bone spurs, or injury. Compression or irritation of the spinal nerve roots triggers symptoms along the nerve’s pathway.
Diagnosis
- Medical History Review – Discussing symptoms, triggers, duration, and their effect on daily life
- Physical Exam – Assessing strength, reflexes, sensation, and range of motion
- Imaging Tests – MRI or CT scans identify nerve compression and the underlying cause
How We Treat It
Treatment aims to relieve nerve irritation, reduce pain, and restore function.
Treatment options may include:
- Physical therapy to strengthen muscles and improve flexibility
- Anti-inflammatory or pain-relief medications
- Medications targeting nerve pain
- Epidural steroid injections to reduce inflammation around affected nerves
- Activity modification and customized home exercise programs