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
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Diagnosis and evaluationDiagnosis 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.Diagnostic tests 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.Effects 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.Health care team 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 orthopedic 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.Finding a doctor Generally
orthopedic 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
Orthopedic Surgeons Web site, university schools of medicine, county or
state medical or orthopedic organizations.Surgery for Lumbar Radiculitis at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington If you are interested in making an appointment to discuss this procedure in Seattle, 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 to make an appointment. Our clinical center is located in Seattle Washington, USA
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