Lumbar Radiculopathy
Lumbar radiculopathy or sciatica is a condition caused by the compression or irritation of nerve roots in the lumbar spine, often due to herniated discs, spinal stenosis, or degenerative disc disease. It results in pain, numbness, and weakness that can radiate down the leg.
Signs and Symptoms:
- Sharp, shooting pain that radiates from the lower back down into the buttock, thigh, and possibly the calf or foot, often following a specific nerve pathway.
- Numbness or Tingling in the legs or feet, often described as “pins and needles.”
- Pain or discomfort may increase with activities like bending, twisting, or sitting for prolonged periods.
- Muscle weakness in the affected leg, which can impact mobility and balance.
Physiotherapy Managements:
- Manual Therapy : Techniques such as spinal mobilization/manipulation or soft tissue massage to improve mobility and reduce muscle tension and pain.
- Pain Management : Modalities such as heat, ice, ultrasound, or electrical stimulation to reduce pain and inflammation.
- Exercise Therapy:
- Gentle Stretching: Focused on improving flexibility of the lower back and hamstrings to alleviate tension.
- Core Strengthening: Exercises to strengthen the core muscles, providing better support for the spine and reducing stress on lumbar structures.
- Postural Exercises: Training on proper posture and body mechanics to minimize strain on the lumbar spine.
- Education : Educating patients about their condition, the importance of maintaining activity, activity modifications, and proper body mechanics.
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