Radiculopathy Physiotherapy | Arunalaya Healthcare post thumbnail image

Best Radiculopathy Treatment in Delhi

What is Radiculopathy ?

Radiculopathy is a condition that occurs when a nerve root is compressed or irritated, leading to symptoms that radiate along the path of that nerve. It’s often referred to based on the region of the spine where it occurs:-

  • Cervical Radiculopathy: Affects nerve roots in the neck (cervical spine), causing symptoms in the shoulder, arm, hand, or fingers.
  • Thoracic Radiculopathy: Affects nerve roots in the mid-back (thoracic spine), causing symptoms around the chest or abdomen (less common).
  • Lumbar Radiculopathy: Affects nerve roots in the lower back (lumbar spine), causing symptoms in the buttock, leg, or foot (commonly known as sciatica).
Causes of Radiculopathy

The primary cause of radiculopathy is anything that compresses or irritates a nerve root as it exits the spinal canal. Common causes include:-

  • Herniated Disc (Slipped Disc): This is one of the most common causes. The soft, gel-like center of an intervertebral disc (nucleus pulposus) pushes through a tear in its outer fibrous ring (annulus fibrosus), putting pressure directly on a nearby nerve root.
  • Spinal Stenosis: Narrowing of the spinal canal or the neural foramen (the opening through which nerve roots exit). This narrowing can be caused by:
  • Degenerative Changes: Age-related wear and tear leading to bone spurs (osteophytes), thickened ligaments (ligamentum flavum hypertrophy), and bulging discs.
  • Arthritis (Osteoarthritis): Degeneration of the facet joints (small joints connecting vertebrae) can lead to bone spur formation that impinges on nerve roots.
  • Spondylolisthesis: A condition where one vertebra slips forward over the vertebra below it, potentially narrowing the neural foramen and compressing nerve roots.
  • Degenerative Disc Disease (DDD): As discs degenerate, they lose height and elasticity, which can lead to disc bulging, bone spur formation, and narrowing of the space for nerve roots.
  • Spinal Tumors: Although rare, a tumor growing near the spinal cord or nerve roots can cause compression
  • Infections: Infections of the spine (e.g., osteomyelitis, discitis) can lead to inflammation and compression.
  • Trauma: Injuries such as whiplash or direct impact to the spine can cause disc herniation, fractures, or other changes that compress nerve roots.
  • Sacroiliac Joint Dysfunction (for lumbar radiculopathy): While not directly compressing nerve roots from the spine, severe SI joint issues can sometimes refer pain patterns that mimic radiculopathy or contribute to nerve irritation.
Symptoms of Radiculopathy

The symptoms of radiculopathy depend on which nerve root is affected and the degree of compression. They typically follow a dermatomal pattern (the area of skin supplied by a single nerve root) and/or myotomal pattern (the group of muscles supplied by a single nerve root).

  • Common symptoms include:-
  • Pain: This is the most common symptom. It’s often sharp, shooting, or burning, and radiates from the spine along the path of the affected nerve.
  • Cervical: Pain in the neck, shoulder, arm, hand, or fingers.
  • Thoracic: Pain around the chest wall or abdomen (often mistaken for heart or organ issues).
  • Lumbar (Sciatica): Pain in the lower back, buttock, down the back of the thigh, calf, and/or foot.
  • Numbness and Tingling (Paresthesia): A “pins and needles” sensation or a loss of sensation in the dermatomal distribution of the affected nerve.
  • Weakness: Muscle weakness in the myotomal distribution of the affected nerve. This can lead to difficulty with certain movements, loss of grip strength (cervical), or foot drop (lumbar).
  • Diminished Reflexes: Reflexes in the affected limb may be reduced or absent.
  • Aggravating Factors: Symptoms often worsen with certain movements, postures (e.g., prolonged sitting, standing, bending, coughing, sneezing), or activities that increase spinal pressure.
Advanced Physiotherapy for Radiculopathy
  • Pain Management and Modalities:-
    • Manual Therapy (Acute Pain Relief): Gentle joint mobilizations or oscillations to reduce muscle guarding and improve spinal segment mobility.
    • Therapeutic Modalities: Use of ice/heat, TENS (Transcutaneous Electrical Nerve Stimulation), or interferential current to help manage acute pain and inflammation.
  • Nerve Mobilization/Neurodynamics:
    • Nerve Glides/Sliders: Gentle, controlled movements designed to promote the smooth gliding of the nerve root and peripheral nerve without excessive stretch. Examples include median, radial, and ulnar nerve glides for cervical radiculopathy, and sciatic nerve sliders for lumbar radiculopathy.
    • Positional Release: Guiding the patient into specific positions that open the neural foramen and reduce nerve compression (e.g., for lumbar radiculopathy, lying on the side with the affected leg slightly flexed and rotated).
  • Therapeutic Exercise and Strengthening:
    • Core Stabilization: Strengthening the deep abdominal and back muscles (transversus abdominis, multifidus, pelvic floor) to provide dynamic stability to the spine and reduce load on the discs and nerve roots.
    • Posture Correction: Exercises and education to improve overall posture, especially during sitting, standing, and lifting, to minimize spinal stress.
    • Segmental Strengthening: Targeting specific muscles that may be weak due to nerve involvement (myotomal weakness).
    • Scapular Stabilization (for cervical radiculopathy): Strengthening muscles around the shoulder blade to improve upper limb mechanics.
    • Hip and Gluteal Strengthening (for lumbar radiculopathy): Strengthening hip extensors, abductors, and external rotators to improve lower limb mechanics and reduce lumbar spine stress.

BOOK AN APPOINTMENT

Working Hours

Mon - Sat: 9:00AM to 8:30PM
Sunday: 9:30AM to 7:30PM

Call Us

+91 8090080906
+91 8090080907
+91 8866991000




    Add Your Heading Text Here