Sciatica / Lumbar Radiculopathy Specialist

Do you have pain that radiates from your buttocks down the back of your leg? If so, you may have a condition called radiculopathy or sciatica. Sciatica is often caused by a bulging or herniated disc in the spine. Lumbar radiculopathy specialist, Doctor Andre M. Samuel, offers both surgical and non-surgical treatment options for patients in Clear Lake, Houston, and Sugar Land,  Texas area, who are experiencing sciatica pain or pain that radiates down the back of the leg. Contact Dr. Samuel’s team today! 

What is lumbar radiculopathy?

The lumbar spine is formed by the last five vertebrae in the spinal column. The spinal nerves are protected within these bony vertebrae to carry electrical messages to all parts of the body. Lumbar radiculopathy occurs when one of these nerves becomes compressed or irritated resulting in pain that radiates down one of the lower extremities. This orthopedic condition is also known as sciatica because the sciatic nerve is most often affected. Dr. Andre M. Samuel, orthopedic spinal specialist serving the Clear Lake, Houston, Sugar Land, Texas area, has the knowledge and understanding, as well as substantial experience, in treating patients who have experienced lumbar radiculopathy.

 

What causes lumbar radiculopathy?

The normal aging process causes the discs between the vertebrae to degenerate over time. Water is lost from these intervertebral discs creating a more rigid structure that is susceptible to injury. When the material within these discs presses against the outer shell, it can bulge into the spinal canal placing direct pressure against the nerve roots. The spinal canal may narrow over time as well from bone spurs that add unnecessary pressure to irritate the nerve roots.

 

Are there risk factors for lumbar radiculopathy?

Yes. There are a number of factors that can increase the likelihood of developing sciatica. These include:

  • Sciatica is most common in men between 30 and 50 years old.
  • Sitting for long periods of time and poor posture can lead to lumbar radiculopathy.
  • Individuals who are overweight place additional stress on the lower back.
  • Occupational Hazards. Some jobs are more physically demanding with constant lifting, pushing, pulling, and twisting motions. Other occupations, such as truck drivers, require being in a seated position for prolonged periods of time.
  • Because of the added stress on the lower back in the final stages of gestation, multiple pregnancies can increase a woman’s likelihood of developing sciatica.

 

What are the symptoms of lumbar radiculopathy?

Sciatica is most often described as a sharp, knife-like pain that begins in the lower back and radiates into one of the lower extremities. Some other common symptoms of lumbar radiculopathy include:

  • Pain localized to the lower back
  • Numbness and/or tingling in the foot and toes of the affected lower leg
  • Loss of lower extremity muscle strength
  • Decreased sensation

 

How is lumbar radiculopathy diagnosed?

Sciatica is diagnosed from a thorough medical history combined with a physical and neurological examination. Dr. Samuel will evaluate the lower back and lower extremities for any signs of muscle weakness, decreased sensation, or abnormalities in the nerve reflexes. Advanced imaging, such as magnetic resonance imaging (MRI), or nerve conduction studies can help identify the affected nerve root.

 

What is the treatment for lumbar radiculopathy?

Non-surgical treatment:

The majority of individuals with sciatica often respond well to treatment with conservative measures. Short periods of bed rest, limiting activities that increase symptoms, and weight-loss programs are encouraged. Dr. Samuel recommends non-steroidal anti-inflammatory medications (NSAIDs) to decrease pain, swelling, and nerve irritation. An epidural steroid injection may also be warranted to further reduce pain and inflammation of the nerve root. Physical therapy is also strongly encouraged to improve function and range of motion of the lower extremities.

 

Surgical treatment:

However, individuals with continued symptoms after trialing conservative treatments may require surgical intervention. There are different techniques to surgically correct lumbar radiculopathy that may also address other conditions such as a herniated disc or bone spurs. Many of these treatments can be done with minimally invasive surgery which offers quicker recovery times and less chance of infection or bleeding. Dr. Samuel will formulate the best surgical approach after reviewing a number of patient-specific factors such as medical history, current symptoms, and the affected nerve root.