Lumbar radiculopathy

The nerve roots that supply sensation and strength to the leg leave the spine in the lower back. When such a root is compressed or irritated, for example by a disc herniation, a bulging disc or bone spurs, radiating nerve pain develops. It is commonly known as sciatica.

These complaints are regularly confused with hip pain, because the pain can also sit in the buttock and thigh. The distinction matters: hip surgery does not help a problem that comes from the back, and the reverse is equally true.

• Sharp or burning pain running from the back or buttock into the leg, often below the knee or into the foot
• Tingling, numbness or pins and needles in a clearly defined area of the leg
• Weakness, for example difficulty walking on toes or heels
• Increase with coughing, sneezing or straining
• Pain rarely sits in the groin, which is typical for hip osteoarthritis

Warning signs that require urgent assessment are sudden weakness, loss of sensation around the saddle area, or problems with bladder or bowel control.

Clinical examination and an MRI of the lower back show which nerve root is involved. If back and hip are hard to distinguish, we use a targeted test injection.

• Physiotherapy and adapted activity in the first weeks
• Pain relief and anti-inflammatory medication
• An image guided injection around the nerve root
• Referral to the spine or neurosurgeon for persistent pain or loss of function

Many complaints improve spontaneously within six to twelve weeks. Use the symptom explorer or make an appointment.