Is it a slipped disc? Pinched nerve? Sciatica? Leg Pain May Stem from pinched nerve in the low back
Last updated Wednesday, March 05, 2008
Diagnosis and evaluationHow is lumbar radiculitis diagnosed? A
complete history and thorough physical examination is the first step in diagnosing
lumbar radiculitis (inflammation of a nerve root in the lower spine, causing
pain, tingling, numbness or a burning sensation in the back and legs).
Additional tests such as X-ray or magnetic resonance imaging (MRI) might be
needed in some cases but are not indicated for every patient. Nerve tests (electro-diagnostics) and
laboratory studies may also be useful in specific situations.What tests may be used to diagnose lumbar radiculitis? A complete history
and thorough physical examination is the first step in diagnosis. Additional
tests such as X-ray or magnetic resonance imaging (MRI) might be needed in some
cases but are not indicated for every patient.
Other
diagnostics could include electromyography (EMG) and a nerve-conduction study
to pinpoint what is causing the weakness or tingling/numbness in the leg(s).
Infrequently laboratory studies are needed for
patients whose symptoms might have rheumatologic causes.Will diagnosing lumbar radiculitis cause pain, side effects, or invasive techniques? How are these dealt with? The EMG
nerve stimulation diagnostic could be uncomfortable for some patients, as it
involves a pin electrode and stimulation of the nerves. Patients who are
claustrophobic might be uncomfortable getting an MRI, as it involves being
inside a big tubular structure.What health care professionals may help diagnose lumbar radiculitis? Lumbar
radiculitis (inflammation of a nerve root in the lower spine, causing pain,
tingling, numbness or a burning sensation in the back and legs) could be
diagnosed by a primary care provider, a sports and spine specialist, a
physiatrist (PM&R doctor), a rheumatologist, or an orthopaedic surgeon.
If causes outside the range associated with
radiculitis are suspected, counsel could be sought from specialists in
neurology, vascular disease, oncology, and other areas.How can a doctor specializing in lumbar radiculitis be found? Generally
orthopaedic and spine specialists will have the most expertise in treating
lumbar radiculitis; those specialists often can be located through the American Academy of Physical Medicine and
Rehabilitation website, American Academy of
Orthopaedic Surgeons Web site, university schools of medicine, county or
state medical or orthopaedic organizations.Surgery for Lumbar Radiculitis at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-4288 (outside the Seattle area: 800-440-3280) to make an appointment.
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