Radiculopathy Treatment in North Carolina

What is Radiculopathy?

Radiculopathy denotes a pinched nerve within the spine. This condition emerges when neighboring bones, cartilage, muscles, or tendons undergo deterioration or sustain injury. Such trauma prompts a positional shift of these tissues, leading to additional pressure on the nerve roots embedded in the spinal cord. Various types of radiculopathy are distinguished based on the specific location of the compressed nerve.

  • Lumbar Radiculopathy: Characterized by pressure on the nerve root in the lower back
  • Cervical Radiculopathy: Involves pressure on the nerve root in the neck
  • Thoracic Radiculopathy: Pertains to a pinched nerve in the midsection of the spine

Potential triggers for radiculopathy encompass infection, obesity, pregnancy, diabetes, trauma, arthritis, and the development of additional bone or bone spurs in vulnerable areas.

What are the Symptoms of Radiculopathy?

Symptoms associated with lumbar or cervical radiculopathy encompass:

  • Sharp back pain radiating down to the foot; aggravated by sitting or coughing
  • Pins and needles sensation or numbness in the leg or foot’s skin
  • Weakness and tingling in the back, neck, arm, or leg
  • Diminished reflexes
  • Shoulder or arm discomfort

How Radiculopathy Is Diagnosed

Your medical history will be reviewed, and your symptoms discussed with a physician. Certain movements might be assessed to gauge the functionality of your nerves and muscles. Imaging procedures like X-rays, computed tomography (CT) scans, electromyelography (EMG), or magnetic resonance imaging (MRI) may be employed to identify and diagnose your condition. In some instances, a contrast material may be injected into your spinal canal to enhance visualization of the affected area.

Radiculopathy Treatment Options

Treatment strategies are contingent upon multiple factors, notably the nature of the issue. Nonsurgical or surgical interventions may be employed:

Nonsurgical approaches typically encompass soft collars, physical therapy, and medications like nonsteroidal anti-inflammatories, corticosteroids, and steroid injections.

Surgical options are diverse, ranging from spinal fusion and disc replacement to laminoforaminotomy (also known as open decompression), involving the removal of compressing bone. Emerging minimally invasive alternatives can also be discussed with your healthcare team.

Positive outcomes are commonly observed with nonsurgical treatments, leading to improvement or full recovery from radiculopathy. The proficient surgeons at Neurosciences & Spine Center are well-equipped to guide your treatment decision. They possess comprehensive training in the latest techniques, specializing in diagnosing and managing brain, spine, and peripheral nerve disorders and diseases. To schedule an appointment with Neurosciences & Spine Center, please contact us at 919-784-7550.

Schedule a Consultation

The care team at Neurosciences & Spine Center can help you decide on the treatment that's best for you. They specialize in minimally invasive surgery and are experienced in diagnosing and treating disorders and diseases, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at Neurosciences & Spine Center call 919-784-7550.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.