Pinched Nerve, Radiculopathy & Sciatica

Low back pain that radiates down the leg can be frustrating and limiting — the first step to treatment is understanding what’s causing it.

What is a Pinched Nerve or Radiculopathy?

Lumbar radiculopathy occurs when a nerve in the lower spine is compressed or irritated, leading to pain that often radiates from the back into the legs. This type of pain is often called sciatica. A pinched nerve can also occur in the neck and would then be called a cervical radiculopathy.

What Causes a Pinched Nerve?

Most cases are due to wear and tear, inflammation or injury. Other causes include:

Herniated or bulging discs
Arthritis or spinal stenosis
Benign cysts
Trauma from accidents or lifting injuries

Risk factors include frequent driving, heavy lifting, smoking, obesity, multiple pregnancies, a sedentary lifestyle and even chronic coughing. Family history may also play a role.

What are the Symptoms of Sciatica or a Pinched Nerve?

People often describe the pain as:

Throbbing, aching, burning or shooting down the leg
Tingling, numbness or pressure
Weakness or cramping in the leg muscles

Back pain may be present, but leg pain is typically the most bothersome symptom for patients. Emergency care is needed if new leg weakness or sudden loss of bladder/bowel control develops.

How is a Pinched Nerve Diagnosed?

Most patients improve with conservative treatment in 4–6 weeks. Options include:

Activity modification (staying active without overdoing it)
Heat, ice and electrical stimulation
Medications such as NSAIDs or nerve pain medication
Physical therapy with exercises for flexibility and core stabilization

Surgery, such as decompression or microdiscectomy, is reserved for cases where symptoms do not improve with conservative management or nerve damage is worsening. Only about 1–10% of patients ultimately need surgery, and we consider it a final option.

Pinched Nerves, Radiculopathy, and Sciatica Treatment at OrthoNebraska

Do you need help with sciatica, radiculopathy or pinched nerves in the Omaha area? You shouldn’t have to deal with the pain of sciatica, and you’re not alone. At OrthoNebraska, you’ll work with your care team to build a plan tailored to your specific needs.

Schedule Now With a Back Specialist