Radiculopathy

WHAT is

Radiculopathy

Radiculopathy is a condition in which one or more nerve roots in the spine become compressed or irritated. This pressure disrupts normal nerve function and can cause pain, numbness, tingling, or weakness that radiates along the path of the affected nerve. Symptoms vary depending on which nerve roots are involved and their location along the spine.

Causes

Common Causes

  • Herniated discs pressing on nearby nerve roots
  • Bone spurs causing narrowing of nerve passageways
  • Degenerative disc disease leading to nerve compression
  • Spinal stenosis narrowing the spinal canal or foramina
  • Injury or trauma damaging the spine or nerve roots.

SYMPTOMS

Symptoms to Watch For

  • Sharp or shooting pain radiating from the spine into the limbs
  • Numbness or tingling following the affected nerve pathway
  • Muscle weakness in the arm or leg depending on nerve involved
  • Difficulty with fine motor skills or limb movement
  • Reduced reflexes in the area served by the affected nerve.

Diagnosis

How It’s Diagnosed

  • Physical exam assessing muscle strength, reflexes, and sensation
  • Imaging studies such as MRI or CT scans to detect disc herniation, bone spurs, or spinal narrowing
  • Electromyography (EMG) and nerve conduction studies to evaluate nerve and muscle function and locate the compression.

Treatment Options

Non‑surgical / Lifestyle Approaches:

  • Physical therapy to improve strength, flexibility, and relieve nerve irritation
  • Activity modification to avoid movements that worsen symptoms
  • Over-the-counter or prescription medications to reduce pain and inflammation
  • Supportive devices such as braces or collars in select cases

Advanced Treatments:

  • Surgery may be recommended if symptoms are severe or do not improve with conservative care
  • Procedures may include removing herniated discs, bone spurs, or enlarging nerve passageways through techniques like discectomy, foraminotomy, or laminectomy
  • Minimally invasive options may be considered depending on the cause and location of nerve compression