Menu
Call us
Book now
     "Where everyone is 
treated like an elite athlete"
 
           Button

 

 
Appointments call

 (02) 4954 5330 

             Opening hours  
 
     Monday to Friday  8:30am – 7pm
 
 
 
Download  our  Low Back Pain  eBook      Back book

Nerve Root Compression

This is a condition that affects the spinal nerves which exit the spine and can affect any level of the spine. It is more common in the lower lumbar and mid to low cervical spine.

The irritation may be due to the direct mechanical compression of the disc on the nerve or due to the chemical irritation caused by this. In the older population the compression may be caused by osteophytes (extra bone) that have developed as part of the degenerative process.

Nerve root compression

Causes

  • The outer layer of the disc or the annulus can degenerate with age and activity, leading to its weakening. The inner part or nucleus can also disintegrate. This can eventually lead to disc material coming out of the disc and pushing on a nerve. Frequently there is a lifting or twisting activity that finally causes this.
  • Osteophytes
  • Spondylolisthesis or slippage of one vertebrae on another

Pain and Symptoms

  • Pain is sometimes severe and will often refer into the limb i.e. leg or arm
  • Can often be associated with weakness, pins and needles, numbness and loss of reflexes
  • Tender over affected region with associated muscle spasm
  • Significant loss of active movements pain is usually aggravated by sitting, bending lifting and often sneezing

Diagnosis

MRI or CT scan will help provide a diagnosis along with clinical findings.

Treatment

Conservative management is usually the first option and will usually include:

Activity Modification – A period of activity modification will be required to help rest the affected area. This does not imply complete rest as it is important to keep uninjured parts of the spine mobile and healthy.

Pain Medication – Early on appropriate pain medication prescribed by your GP may be appropriate in helping to control symptoms.

Physiotherapy Guided Exercise program aims to maintain movement in unaffected regions, maintain fitness, and teach correct posture and manual handling.

Surgery is sometimes required.

This entry was posted in Injury Treatment and tagged , , . Bookmark the permalink.

Leave a Reply

Your email address will not be published. Required fields are marked *

AntiSpam * Time limit is exhausted. Please reload the CAPTCHA.