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Understanding Back and Neck Pain

Radiculopathy occurs when a nerve root in the spine becomes compressed or inflamed, leading to pain, numbness, and weakness. It can affect both the lumbar (lower back) and cervical (neck) regions, often causing distress but is typically treatable. The compression of the nerve can result from various factors, including herniated discs, spinal stenosis, or degenerative changes in the spine. Symptoms can radiate down the arms or legs, depending on the location of the affected nerve. While radiculopathy can cause significant discomfort, treatment options such as physical therapy, medications, and in some cases, surgery, can help alleviate symptoms and improve mobility. Early diagnosis and intervention are key to managing the condition effectively.

Lumbar Radiculopathy

This condition results from nerve compression in the lower back, often due to herniated discs, degenerative disc disease, or spinal stenosis. Symptoms include sharp pain, tingling, numbness, or weakness radiating down the legs, commonly referred to as sciatica. Activities like bending, lifting, or twisting can aggravate the pain.

Cervical Radiculopathy

Cervical radiculopathy involves nerve compression in the neck, often caused by herniated discs or bone spurs. Symptoms include neck pain, tingling or numbness radiating into the arms, hands, or fingers, and weakness in the arms or hands, which may affect motor skills or grip strength.

Symptoms

Pain: Sharp, burning, or stabbing pain radiating into the limbs.
Numbness: Pins and needles sensation or loss of sensation along the nerve path.
Weakness: Decreased strength in affected muscles, leading to difficulty with movements.
Reduced Reflexes: Diminished or absent reflexes in the affected limb.

Diagnosis
A physical examination helps identify muscle strength, reflexes, and sensory deficits. Imaging tests like MRI or CT scans pinpoint the source and location of compression, and electromyography (EMG) may further assess nerve and muscle function.

Why Choose Harmony Pain Management?

Personalized Care

Custom treatment plans tailored to your needs

Advanced Treatments

Safe, effective interventional pain solutions

Comprehensive Approach

Multi-modal therapies to restore function

Compassionate Expertise

Care led by Dr. Manjunath Shetty with empathy and professionalism

Full Support

Guidance through every step of your recovery and documentation

Support for Personal Injury Cases

We specialize in treating patients injured in auto accidents, workplace incidents, or other personal injury cases. Our team works closely with attorneys, insurance adjusters, and medical providers to ensure your treatment and documentation are handled with precision throughout your recovery process.

Spinal stenosis is the narrowing of spaces in the spine, putting pressure on the spinal cord and nerves. It typically occurs in the lumbar (lower back) or cervical (neck) regions and is often caused by age-related changes like thickening ligaments, bone spurs, and disc degeneration. If untreated, it can lead to pain, numbness, and in severe cases, bowel or bladder issues.

Symptoms

Pain: Common in the back or neck, radiating into limbs (sciatica or shoulder pain).
Numbness/Tingling: A “pins and needles” sensation in the arms, hands, legs, or feet.
Weakness: Muscle weakness impairing movement, such as difficulty walking or gripping.
Reduced Reflexes: Diminished reflexes, detected during physical exams.
Difficulty Walking: Heaviness in the legs causing balance issues in lumbar stenosis.
Bladder/Bowel Problems: Severe cases can lead to cauda equina syndrome, requiring immediate attention.

Diagnosis
Diagnosis begins with a physical examination of strength, posture, and range of motion. Imaging tests like X-rays, MRI, or CT scans confirm the condition, showing narrowing, bone spurs, and soft tissue changes.

Treatment

Physical Therapy: Exercises to strengthen muscles, improve flexibility, and alleviate pressure on nerves.
Medications: Over-the-counter pain relievers or prescription medications for severe cases.
Epidural Steroid Injections: Direct corticosteroids into the epidural space to reduce inflammation and pain.
Selective Nerve Root Block (SNRB): Targeted injection for pain relief at nerve roots.
Spinal Cord Stimulation: Implanted device to block pain signals for severe, chronic pain.
Surgery: Options like laminectomy, laminotomy, or spinal fusion are considered if conservative treatments fail.

Conclusion
Spinal stenosis is a manageable condition with early diagnosis and appropriate treatment, including physical therapy, medications, injections, and surgery when needed.