Nerve root entrapment, also known as radiculopathy, is a condition where the nerve roots in the spinal column become compressed or irritated. This results in pain, numbness, weakness, and other symptoms that travel along the affected nerve pathway, commonly experienced as back pain, leg pain (sciatica), or arm pain depending on where in the spine the problem occurs.
Conservative treatments are typically the first line of approach, with surgery considered only if symptoms persist or worsen despite non-surgical interventions.
Non-Surgical Treatment Options
- Rest and activity modification to reduce aggravating movements and allow inflammation to settle
- Physical therapy with targeted exercises and stretches to improve flexibility and strengthen supporting muscles
- Over-the-counter or prescription pain medications such as NSAIDs for symptom relief
- Heat and cold therapy to reduce pain and swelling
- Epidural steroid injections around the nerve root to reduce inflammation and relieve symptoms
Surgical Interventions
If conservative treatment does not resolve symptoms, surgical options may be considered. These are typically recommended only when there is significant nerve compression, progressive weakness, or failure to respond to non-surgical management.
- Microdiscectomy: removing a portion of the herniated or protruding disc that is compressing the nerve root
- Laminectomy: removing part of the vertebral bone (the lamina) to create more space for the nerve roots
- Foraminotomy: enlarging the opening (foramen) through which the nerve exits the spinal canal
When to Seek Help
If you are experiencing persistent back pain with radiation into the leg or arm, numbness, or weakness, we recommend seeking a professional assessment as soon as possible. Early diagnosis and appropriate treatment significantly improve outcomes.
Our physiotherapist is experienced in assessing and treating radiculopathy. Please contact us to book an appointment.