What is a pinched nerve or lumbar 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.
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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 radiculopathy?
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?
Diagnosis starts with a physical exam, medical history and discussion of your symptoms. Imaging and specialized testing may be used to rule out other conditions and to check bone/nerve involvement and alignment.
How is a pinched nerve treated?
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.
