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Lumbar Radiculopathy

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Causes

Lumbar radiculopathy may be the result of a herniated disc, spinal stenosis, bone spur, or injury affecting the nerve. This causes inflammation or compression of a spinal nerve.
 

Treatment

In most cases, lumbar radiculopathy goes away when the cause of the symptoms improves. If problems persist, symptoms can be managed.
Talk with your doctor about the best treatment plan for you. Options include one or more of the following:

Non-surgical Treatments

Corsets and back braces support posture and may reduce pain.
Spinal decompression, or traction, relieves pressure around pinched nerves in the spinal column. Spinal discs are slowly pulled apart allowing for blood and nutrients to heal the spine.
Medications
Medications used to treat lumbar radiculopathy include:
  • Over-the-counter pain relievers, such as ibuprofen or acetaminophen
  • Prescription pain relievers
  • Antidepressants
  • Muscle relaxers
  • Corticosteroid injections into the spine
If the lumbar radiculopathy is caused by a bacterial infection, your doctor will prescribe antibiotics.
Physical Therapy
Continue normal activities unless it causes pain. Staying active helps maintain muscle strength and flexibility.
Your doctor will refer you to a physical therapist for specific exercises. Exercises also improve range of motion. Physical therapy may also include other techniques such as massage, manual therapy, heating, cooling or ultrasound treatments. Your therapist can also provide back care education including proper posture and body mechanics.
Counseling
Your doctor may refer you to counseling. Counseling will help you manage chronic pain through single or group therapy.

Surgery

If no other treatments work, surgery may be an option for you. The goal of surgery is to relieve nerve compression and reduce pain. Surgical procedures may include:
  • Laminectomy-an open procedure to remove a portion of the bony arch of the spine
  • Microdiscectomy-a portion of the herniated disc is removed with instruments or a laser
 

RESOURCES

American Academy of Orthopaedic Surgeons
http://www.orthoinfo.org

American Chronic Pain Association
http://www.theacpa.org

 

CANADIAN RESOURCES

Canadian Orthopaedic Foundation
http://www.canorth.org

Canadian Pain Society
http://www.canadianpainsociety.ca

 

References


Chronic low back pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated July 2, 2013. Accessed July 8, 2013.


Lumbar disc herniation. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated June 28, 2013. Accessed July 8, 2013.


Lumbar radiculopathy. Advancing Neuromuscular, Musculoskeletal, and Electrodiagnostic Medicine website. Available at: http://www.aanem.org/Education/Patient-Resources/Disorders/Lumbar-Radiculopathy.aspx. Accessed July 8, 2013.


Lumbar radiculopathy. Spine Health website. Available at: http://www.spine-health.com/conditions/lower-back-pain/lumbar-radiculopathy. Accessed July 8, 2013.


Lumbar spinal stenosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated February 25, 2013. Accessed July 8, 2013.

 

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