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Pain Management: What Is Lumbar Radicular Pain?

Jul 07, 2021
Pain Management: What Is Lumbar Radicular Pain?
Lumbar radiculopathy is one of the most common patient complaints. In fact, three to five percent of the population complain of lumbar radicular pain, and even more people struggle with the pain in silence.

Lumbar radiculopathy is one of the most common patient complaints. In fact, three to five percent of the population complain of lumbar radicular pain, and even more people struggle with the pain in silence.

From spinal surgeries to pain management clinics, these patients may feel like they’re being tossed around with no understanding of what’s happening. That’s why isn’t important to understand what lumbar radicular pain is and what the common treatments are.

Keep reading if you want to learn more.


Lumbar radiculopathy is a kind of disease in the lower spine. More specifically, this condition involves the nerve roots in the lumbar spine. Those with it may experience pain, numbness, and/or weakness in the buttock and/or one of the legs.

Often, people use the term sciatica to refer to lumbar radicular pain.

If the spinal nerve root becomes compressed, this can lead to lumbar radicular pain. This is the most common cause of the condition.

Because of the compression of the nerve, the pain can refer to other areas. Most often, this pain refers to one of the legs.

If you believe that you’re suffering from lumbar radicular pain, you should get in to see your primary care physician or an orthopedic doctor as soon as possible. You wouldn’t want to cause further damage to the area by ignoring the pain.

Because lumbar pain is so common, your physician is likely to have seen many cases before. They should be able to help you find the source of the problem and get your pain under control.


When the spinal nerve roots become irritated or compressed, lumbar radiculopathy may form. Irritation and/or compression can develop because of mechanical manipulation or result from another condition such as:

  • Lumbar disc herniation
  • Spinal stenosis
  • Osteophyte formation
  • Spondylolisthesis
  • Foraminal stenosis

In fact, many degenerative disorders could cause lumbar radiculopathy.


You can get a diagnosis from a spinal doctor, a chiropractor, an orthopedic physician, a primary care doctor, or similar specialist. Whoever you see will look over your medical history and give you a physical examination.

While they’re examining you, the physician will look at your spinal range of motion, movement limitations, balance issues, and sensory issues. These sensory issues may include loss of extremity reflexes, muscle weakness, or abnormal reflexes.

The physician may also decide to get an x-ray or MRI to view your spinal structure. However, if you have a contraindication like a pacemaker or a spinal cord stimulator, you may get a CT myelogram instead of an MRI.


Not every patient’s lumbar pain is the same. But, here are some of the most common complaints associated with lumbar radiculopathy:

  • Pain
  • Tingling
  • Numbness
  • Weakness
  • Loss of reflexes

These kinds of symptoms typically happen in the lower back, buttocks, leg, and foot. The pain can radiate to either leg, but it usually only affects one leg.

If you’re having any of these symptoms, see a doctor as soon as possible. If you continue to use your spine as normal, you could cause more damage. It’s important to get to the root of the problem so that you know you aren’t hurting yourself.


If you’re suffering from lumbar radicular pain, there are a few kinds of treatments that your doctor may mention. These fall into two categories: surgical and non-surgical.

Physicians start out by testing non-surgical techniques unless your results show a strong need for surgery.

Non-Surgical Treatments for Lumbar Radicular Pain

There are a couple of non-surgical options for correcting lumbar pain:

  • Physical therapy
  • Pain management
  • Injections

Your physician may decide that you need one, two, or all three. You could even do all of them at once or try two or three at a time. There is no right or wrong order because it depends on your particular case.

Physical therapy can go through a prescription process or involve you doing muscle exercises at home. Either way, the movements that the patient does are meant to stabilize the spine. This can help your body make more room for the spinal nerve roots so that they can decompress.

Pain management involves administering medications to someone with lumbar radiculopathy. These can range from non-steroidal anti-inflammatory drugs (NSAIDs) to steroidal medications.

The kinds of medications that your physician recommends will depend on your level of pain and your use of medications in the past. These medications should help reduce swelling and pain.

The injections that you could get include an epidural steroid injection and a nerve root injection. These can help reduce swelling and pain that radiates into your hips. It should also be able to help with the pain that radiates down into the leg, no matter which leg the pain is affecting.

Surgical Treatments for Lumbar Radicular Pain

The kinds of surgical treatments that you can have depend on what is causing your lumbar pain. Most of these kinds of surgeries work to decompress the nerve or stabilize the spine.

Here are some of the most common surgical procedures for lumbar radicular pain:

  • Anterior lumbar interbody fusion
  • Extreme later interbody fusion
  • Laminotomy
  • Lumbar laminectomy
  • Lumbar microdiscectomy
  • Lumbar spinal fusion
  • Cage implantation
  • Pedicle screw
  • Transforaminal lumbar interbody fusion
  • Posterior lumbar interbody fusion

These surgeries work to fix deformities in the spine and its nerves. By getting the right surgery, you could find relief from your lumbar radicular pain.


Pain management for lumbar radicular pain is important. Whether your physician opts for non-surgical or surgical techniques, you need to get the pain under control before more problems build up.

If you’re looking for the best pain management methods, our team at Integrated Pain Consultants is here for you. We have all the pain management tips and tricks that you need to get through lumbar pain.

Contact us today to make an appointment.