Menu 

Radiculopathy

Radiculopathy (aka pinched nerve): pain, numbness, tingling or weakness due to pressure on a nerve in spine.

Radiculopathy
Radiculopathy

Condition and Causes

Radiculopathy is the word used to describe pain, weakness, tingling and numbness caused by nerve root irritation. Nerve roots are the bases of nerves as they branch off the spinal cord and through the foramen to connect to different parts of the body. The nerves also send signals to the brain to create sensations.

Radiculopathy is usually caused by disc herniation or degenerative changes to the spine that put pressure on nerve roots. Radiculopathy can be felt on either or both sides of the body, depending on the cause. For example, the abnormal spinal curve created by scoliosis can compress the nerve roots on one side of the body.

Symptoms and Diagnosis

When the roots of the nerves are compressed, it causes muscle weakness, pain and numbness in the area connected to the affected nerves. For example, if nerves were being compressed in the cervical section of the spine, the patient would feel pain and numbness in the arms and upper chest. With lumbar radiculopathy, radiating downward pain from the back to the feet, called sciatica, is commonly a symptom. Thoracic radiculopathy is often mistaken for shingles, as it causes pain that goes from the middle of the back to the chest. Hypersensitivity to touch can also be a symptom of radiculopathy.

To diagnose radiculopathy, a physician will review a patient's medical history, asking about the location and type of the symptoms to help determine if a nerve root is being affected. A physical exam will follow, focusing on range of motion and flexibility, as well as muscle strength, sensation, and reflexes to determine what nerve root is being compressed.

To verify the diagnosis, several tests may be needed. An X-ray will be performed first, which can help identify the presence of trauma or osteoarthritis, as well as early signs of infection or tumor growth. A CT scan or an MRI may follow. A CT scan can show the amount of space nerve roots are allotted by the foramen, or openings in the vertebrae of the spine. An MRI scan can best reveal the location and extent of nerve compression because it is designed to show the soft tissues around the spine, including discs, ligaments and nerves.

Treatment

Symptoms can often be relieved by conservative treatments like anti-inflammatory medication, physical therapy, and rest. Bracing may be prescribed. Most patients respond well to this treatment, with symptoms improving from six weeks to three months. However, if there is evidence of nerve damage or if symptoms fail to improve over time, surgery may be needed to remove pressure from the spinal roots. The procedure needed varies according to the source of the nerve root compression and its location in the spine.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.

COVID-19 Update:
We are still open and treating patients, however, in order to assist in minimizing the spread of the COVID-19 virus and in order to make it safer for you we have made some changes which, we hope, will be temporary.

Appointments made for office visits will be distanced apart in order to avoid crowding the waiting room.

In addition, we are currently working a reduced office schedule of Monday, Wednesday, and Thursday from 8:30 AM to 12 noon. If for some reason, you are only able to come in the afternoon special arrangements can be made.

If you call the office and the answering service answers, you can leave a message with them for a routine follow-up and we will call you back. If you believe your symptoms are more serious, then please ask the answering service to patch the call through to me.

For some types of office visits, we also have telemedicine options that can be downloaded for free onto your iPhone. These include Zoom and FaceTime.

Thank you for your continued support during these times and we look forward to serving you in full capacity towards the end of April.

Sincerely,

Donald Mackenzie, M.D, F.R.C.S.C, F.A.C.S.