Doctor insights on:
Physical Therapy Exercises For Lumbar Radiculopathy
My friend has an acute form of lumbar radiculopathy, that made him unable to use his legs for over 2 months. Physical therapy didn't help. Surgery?
Lumbar radiculopathy is leg pain, numbness and weakness caused by compression of a spinal nerve as it leaves the spine to supply the leg. This nerve carries the information from the brain to the leg and from the leg to the brain. Therefore, the brain registers pain and a problem in the leg even though the problem is in the back. For example compression of the ...Read more
Male 31yrs. Getting sharp headaches lasting 1-2 seconds since about 10 days. History: lumbar radiculopathy last year-brought under control by therapy?
Paroxysms of pain:
I would need more info to be of help-
Where does the pain start on your head and does it radiate?
What is the quality of the pain (i, e, sharp, pounding like you pulse, squeezing...)?
What is the severity (0-10)?
Does it change with exertion?
What are the associated symptoms if any?
What is the response to any therapeutic measures? ...Read more
When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?
Not Known: Nothing can work fast, however if PT can relieve pressure on the spine where the nerve is getting pinched gets relief than pain relief can occur. If you are not improving after 2-3 weeks with regular therapy sessions, I would suggest seeing a pain/spine specialist to see if a cortisone injection might be helpful. ...Read more
Started physical therapy today (for my lower back pain and sciatica), is it normal that I feel more in pain now (while the PT, I felt pain relief)?
Maybe your problem: Is bigger than originally thought. May want to see surgeon to discuss issues. ...Read more
Hard to Say: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more
Can lumbar radiculopathy b due to pinched nerve? Took robaxin (methocarbamol) a month ago and exercises to do. No disc problems nor childbirth. Pain n back, legs, feet
Lumbar radiculopathy: dr says I don't have disk problems, I've not had an injury to my back, so what else could cause that? Is it permenant?
Sciatica: Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. ...Read more
PM;R physician: Seek out an interventional pm;r (or anesthesia) pain physician. It's really not that difficult to diagnose lumbar radiculopathy, though it takes someone with knowledge of all the other possible conditions that can mimic lumbar radic to know for sure that your pain is actually coming from a pinching/irritation of a nerve in the back. Physical exam and possibly MRI is needed. ...Read more
A herniated disc is just referring to the intervertebral disc bulging out towards the space where the nerves "live". This bulging disc doesn't necessarily squeeze or pinch a nerve root though.
A lumbar radiculopathy is when the bulged disc or bone spurs or thickened ligaments irritate the nerve root enough to cause pain shooting down the leg in a particular pattern. Numbness/tingling maybe too. ...Read more
I was diagnosed with Nerve root disorder, Lumbar radiculopathy, chronic, and my pain management said surgery is not needed and nothing more he can do.
Second Opinion: Your pain doctor may know much about your problem, but is not a surgeon. A surgeon has different experiences and training, and may have better insight for advanced treatments for which the pain doctor has no first hand experience. I would absolutely see a surgeon for at least an opinion. Surgery is not always the best treatment, but if it is a viable option it should be offered. ...Read more
Yes: Although quite uncommon for the two to occur at the same time, it can occur. Check out spine-health. Com. ...Read more
Sure: Happens all the time.Get a more detailed answer ›
Low back pain: Yes. Acupuncture reduces inflammation through the release of endorphins and increases microcirculation to improve joint mobility and reduce muscle stiffness. Acupuncture stimulates the release of serotonin and noradrenaline too. Eastern medicine may provide another alternative for pain relief. ...Read more
It can cause it: Typical symptoms of an acute lumbar radiculopathy are severe, lancinating pain in a consistent distribution. Other symptoms include numbness or tingling and occasionally weakness. Symptoms are usually better with rest and worse with activity. A herniated disc is one of the most common causes of a radiculopathy. Check out spine-health. Com. ...Read more
My neurosurgeon diagnosed and stated I am disabled from cervical and lumbar radiculopathy. He said there is nothing surgical to fix the problems, and?
Second Opinion: Surgical recommendations can vary from surgeon to surgeon, based upon experience, training, and proficiency. I would suggest at least getting a second opinion from a surgeon who has done additional fellowship training in spinal disorders before surgery is ruled out. You may also want to look into a multidisciplinary pain management program. ...Read more
Can lumbar radiculopathy present seperately from spondylosis, or is spondylosis the culprit? My doctor states I lumbar radiculopathy but MRI shows dd
Spondylosis: Radiculopathy in the lumbar spine implies irritation of a nerve that causes leg pain with or without back pain. Spondylosis is a very general term describing various forms of arthritis in the spine (degeneration of the joints). It should not be confused with spondylolysis which is a malformation in the bones (pars defect) that causes instability. ...Read more
There are many treatments for lumbar radiculopathy like heat pads, accupuncture, chiropractic therapy, exercise, massage, medications, injections. ..
Please see a pain management doctor for evaluation. You might benefit from a comprehensive evaluation and treatment. ...Read more
History alone.: The story pt tells the dr gives more that 80% the diagnosis. Pain that comes feom the low back towards the buttocks and then down to the leg. Slightly reduced reflexes on affected side plus possibly some changes in sensation (pimprick or vibration)confirms it. Usually bladder and bowel functions are preserved. ...Read more
Radiating leg pain: Lumbar radiculopathy is leg pain, numbness and weakness caused by compression of a spinal nerve as it leaves the spine to supply the leg. This nerve carries the information from the brain to the leg and from the leg to the brain. Therefore, the brain registers pain and a problem in the leg even though the problem is in the back. For example compression of the s1 nerve causes sciatica. ...Read more
Different labels: A disc herniation is a portion of a disc outside its normal confines while a radiculopathy is pain over a nerve path cuaaed by a pinching or compression of that nerve which could include a disc herniation, a cyst, a tumor or mass, a blood clot called a hematoma or spobal strnosis to name a few. ...Read more
Maybe not then:
For true lumbar radiculopathy, there needs to be a pinching or irritation (chemically) of a nerve root in the lumbar spine. If the MRI is completely "clean", then the piriformis muscle may be causing intermittent sciatica.
Also depends how far down the leg the pain is going. The lumbar facet joints can certainly cause referred pain down the leg, even past the knee. Check out the image attached. ...Read more
Also called “pinched nerve root, ” this occurs when a spinal nerve root is compressed, inflamed, or damaged, causing symptoms of pain, numbness or weakness. Often, nerve roots are affected in the neck or in the lower back. This leads to symptoms that affect certain regions of ...Read more
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